Organization
PARADISE BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUAISHA DANTRICE HYDER (CEO)
(702) 690-0785
Entity
Organization
Contact information
Practice address
4912 CINNAMON SPICE CT, N LAS VEGAS, NV 89031-2587
(702) 690-0785
Mailing address
4912 CINNAMON SPICE CT, N LAS VEGAS, NV 89031-2587
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912205394
—
NV
Enumeration date
04/26/2020
Last updated
12/04/2020
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