Organization
RAISING HOPE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BORNER (MANAGER)
(725) 502-4846
Entity
Organization
Contact information
Practice address
2350 S JONES BLVD, 120, LAS VEGAS, NV 89146
(702) 214-2193
Mailing address
4843 POLAR LIGHTS CT, LAS VEGAS, NV 89130-7274
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
82365726
NV
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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