Organization
STATE OF MIND MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
K WALKER (OFFICE MANAGER)
(562) 595-2440
Entity
Organization
Contact information
Practice address
3651 LINDELL RD STE D, LAS VEGAS, NV 89103-1200
(702) 943-0318
Mailing address
8128 AUTUMN STAR AVE, LAS VEGAS, NV 89145-2433
(562) 595-2440
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20161110505
NV
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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