Organization
ST MICHEALS BEHAVIORALHEALTH SERVICES LLC
Active
Organization
ST MICHEALS BEHAVIORALHEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MADUABUCHUKWU C. DIJI (OWNER/CEO)
(762) 728-0334
Entity
Organization
Contact information
Practice address
8670 W CHEYENNE AVE STE 120, LAS VEGAS, NV 89129-7457
(762) 728-0334
Mailing address
8670 W CHEYENNE AVE STE 120, LAS VEGAS, NV 89129-7457
(762) 728-0334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
11/29/2017
Last updated
06/16/2018
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