Organization
K.G. BEHAVIORAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTAL T. GRIFFIN QMHA (OWNER)
(702) 592-8712
Entity
Organization
Contact information
Practice address
8871 W FLAMINGO RD, SUITE 202, LAS VEGAS, NV 89147-8757
(702) 592-8712
Mailing address
8871 W FLAMINGO RD, SUITE 202, LAS VEGAS, NV 89147-8757
(702) 592-8712
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669778163
—
NV
Enumeration date
02/08/2012
Last updated
03/05/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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