Organization
RADIANT HOPE BEHAVIORAL SERVICES LLC
Active
Organization
RADIANT HOPE BEHAVIORAL SERVICES LLC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GAMBOA (CEO)
(702) 202-3848
Entity
Organization
Contact information
Practice address
3130 S RAINBOW BLVD STE 304B, LAS VEGAS, NV 89146-6212
(702) 202-3374
Mailing address
3130 S RAINBOW BLVD STE 304B, LAS VEGAS, NV 89146-6212
(702) 202-3374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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