Organization
COMMITTED 100 MEN HELPING BOYS
Active
Organization
COMMITTED 100 MEN HELPING BOYS
Active
Other names
Rising Stars Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WALLER (PRESIDENT)
(702) 462-0316
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD, SUITE 104A, LAS VEGAS, NV 89102-1581
(702) 462-0316
(702) 462-0317
Mailing address
4550 W OAKEY BLVD, SUITE 104A, LAS VEGAS, NV 89102-1581
(702) 462-0316
(702) 462-0317
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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