Organization
SOUTHERN NEVADA ADULT MENTAL HEALTH
Active
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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