Organization
POSITIVE INNERGY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEMUEL ALLEN (OWNER)
(702) 713-2659
Entity
Organization
Contact information
Practice address
901 BRUSH ST, LAS VEGAS, NV 89107-4008
(702) 713-2659
(702) 750-9009
Mailing address
901 BRUSH ST, LAS VEGAS, NV 89107-4008
(702) 713-2659
(702) 750-9009
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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