Organization
BC&C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL BAIER LCSW (DIRECTOR)
(702) 689-1301
Entity
Organization
Contact information
Practice address
2780 S JONES BLVD, SUITE F2-145, LAS VEGAS, NV 89146-5628
(702) 362-7300
Mailing address
1317 TEMPO ST, HENDERSON, NV 89052-6461
(702) 689-1301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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