Organization
CENTER FOR BEHAVIORAL HEALTH NEVADA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MASSMAN (OWNER)
(702) 796-0660
Entity
Organization
Contact information
Practice address
3050 EAST DESERT ROAD, SUITE 116, LAS VEGAS, NV 89121
(702) 796-0660
(702) 796-1835
Mailing address
PO BOX 897, BOISE, ID 83701
(702) 796-0660
(702) 796-1835
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
2569NTC-7
NV
261QM2800X
Methadone Clinic
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001702150
—
NV
Enumeration date
10/23/2006
Last updated
05/24/2011
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