Organization
TJ MENTAL HEALTH SERVICES LLC
Active
Organization
TJ MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI JACKSON (OWNER/CEO)
(702) 561-2725
Entity
Organization
Contact information
Practice address
1104 ALLURE DR, LAS VEGAS, NV 89128-2095
(702) 561-2725
Mailing address
1104 ALLURE DR, LAS VEGAS, NV 89128-2095
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
M18-05251-D-153900
NV
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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