Organization
MIND AND BODY BEHAVIORAL HEALTH SERVICES LLC
Active
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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