Organization
TRINITY BEHAVIORAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR CHARLES DRAKE (MANAGER)
(951) 640-1276
Entity
Organization
Contact information
Practice address
4079 N RANCHO DR STE 160, LAS VEGAS, NV 89130-3465
(951) 640-1276
Mailing address
4079 N RANCHO DR STE 160, LAS VEGAS, NV 89130-3465
(951) 640-1276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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