Organization
BAILOUS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL MARIE BAILOUS ETC (OWNER)
(702) 330-1175
Entity
Organization
Contact information
Practice address
1422 CROSSDALE AVE, LAS VEGAS, NV 89142-0180
(702) 330-1175
Mailing address
1422 CROSSDALE AVE, LAS VEGAS, NV 89142-0180
(702) 330-1175
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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