Organization
A ROYAL BEHAVIORAL AGENCY LLC
Active
Organization
A ROYAL BEHAVIORAL AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GARCIA (MANAGING PROVIDER)
(702) 430-7987
Entity
Organization
Contact information
Practice address
2595 S CIMARRON RD STE 107, LAS VEGAS, NV 89117-2697
(702) 596-5404
Mailing address
2595 S CIMARRON RD STE 107, LAS VEGAS, NV 89117-2697
(702) 430-7987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181514587
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083191738
—
NV
Enumeration date
07/25/2018
Last updated
10/31/2019
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