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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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