Organization
NEW AGE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RICHARD TRIMBLE M.S. (CEO)
(678) 361-1979
Entity
Organization
Contact information
Practice address
6767 W CHARLESTON BLVD, SUITE 150, LAS VEGAS, NV 89146-9073
(678) 361-1979
Mailing address
6504 FOLKSTONE AVE, UNIT 102, LAS VEGAS, NV 89108-7023
(678) 361-1979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
12/10/2013
Last updated
06/02/2015
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