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STEPPING OUT ON FAITH BH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY A BEY-ANDERSON (EXECUTIVE DIRECTOR)
(702) 278-0340
Entity
Organization

Contact information

Practice address
5901 N GRAND CANYON DR, LAS VEGAS, NV 89149-1405
(702) 542-0407
Mailing address
4710 LUXOR WAY APT 2219, LAS VEGAS, NV 89115-3023
(702) 278-0340

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
82-3082387
NV

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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