Organization
SOUTHERN NEVADA ADULT MENTAL HEALTH
Active
Parent organization
STATE OF NEVADA
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEVADA
Authorized official
DR. EMMANUEL C. EBO PHARM.D. (STATEWIDE PHARMACY DIRECTOR)
(702) 486-6570
Entity
Organization
Contact information
Practice address
1650 COMMUNITY COLLEGE DRIVE, LAS VEGAS, NV 89146
(702) 486-6570
(702) 486-8330
Mailing address
6161 WEST CHARLESTON, LAS VEGAS, NV 89146-1126
(702) 486-6570
(702) 486-8330
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
1B00759
NV
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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