Organization
SOUTHERN NEVADA BEHAVIORAL HEALTH AUTHORITY LLC
Active
Organization
SOUTHERN NEVADA BEHAVIORAL HEALTH AUTHORITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITRIECE AMELIA SUMBRY QMHA (OWNER)
(702) 419-1262
Entity
Organization
Contact information
Practice address
1125 CORAL ISLE WAY, LAS VEGAS, NV 89108-1766
(702) 419-1262
Mailing address
1125 CORAL ISLE WAY, LAS VEGAS, NV 89108-1766
(702) 419-1262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C201410130539
NV
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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