Organization
LIGHT PATH BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELI MANCHE (OWNER)
(929) 228-8651
Entity
Organization
Contact information
Practice address
6570 W FLAMINGO RD APT 235, LAS VEGAS, NV 89103-2166
(929) 228-8651
Mailing address
6570 W FLAMINGO RD APT 235, LAS VEGAS, NV 89103-2166
(929) 228-8651
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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