Organization
MIND AND BODY BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN RAMIRO VASQUEZ (CONSULTANT)
(702) 800-5431
Entity
Organization
Contact information
Practice address
2655 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89146-5100
(702) 478-7444
(702) 478-7864
Mailing address
2655 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89146-5100
(702) 478-7444
(702) 478-7864
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20171790249
NV
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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