Organization
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Active
Other names
Nevada Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
FESTUS EBONKA APRN (OWNER)
(702) 515-9680
Entity
Organization
Contact information
Practice address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
Mailing address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 685-0620
(702) 685-9674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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