Organization
PHASES OF LIFE CONSULTING
Active
Other names
Impact Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN S PRIDGEON (CEO)
(702) 858-7086
Entity
Organization
Contact information
Practice address
8301 BOSECK DR # 16229, LAS VEGAS, NV 89145-4554
(702) 858-7086
(702) 966-3839
Mailing address
8301 BOSECK DR # 16229, LAS VEGAS, NV 89145-4554
(702) 858-7086
(702) 966-3839
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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