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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