Organization
INSPIRATION BEHAVIORAL MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRISCILLA V OTOO-DAVIS M.S.W. (CEO)
(702) 453-4673
Entity
Organization
Contact information
Practice address
3900 W CHARLESTON BLVD STE 170, LAS VEGAS, NV 89102-1682
(702) 453-4673
(702) 453-2673
Mailing address
3900 W CHARLESTON BLVD STE 170, LAS VEGAS, NV 89102-1682
(702) 453-4673
(702) 453-2673
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2531-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100515866
—
NV
05
—
181113432
—
NV
Enumeration date
08/29/2008
Last updated
02/01/2011
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