Organization
MAKING A DIFFERENCE IN COMMUNITIES
Active
Organization
MAKING A DIFFERENCE IN COMMUNITIES
Active
Other names
M.A.D.I.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CARMEA A BASS (EXECUTIVE DIRECTOR)
(702) 533-6008
Entity
Organization
Contact information
Practice address
5920 LAVENDER BREEZE ST, NORTH LAS VEGAS, NV 89081-6848
(702) 533-6008
Mailing address
5920 LAVENDER BREEZE ST, NORTH LAS VEGAS, NV 89081-6848
(702) 533-6008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NV
Other
Enumeration date
04/05/2018
Last updated
12/13/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up