Organization
SOUTHERN NEVADA ADULT MENTAL HEALTH
Active
Parent organization
STATE OF NEVADA
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEVADA
Authorized official
DR. EMMANUEL C EBO PHARM.D. (STATEWIDE PHARMACY DIRECTOR)
(702) 486-6570
Entity
Organization
Contact information
Practice address
1785 E. SAHARA, STE. 145, LAS VEGAS, NV 89104-0000
(702) 486-2384
(702) 483-2396
Mailing address
6161 W. CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-6570
(702) 486-8330
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PH02140
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2990489
NABP#
—
Enumeration date
12/11/2008
Last updated
12/11/2008
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