Organization
UPLIFT BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YESSENIA RUIZ (DIRECTOR)
(823) 716-9191
Entity
Organization
Contact information
Practice address
1500 E DESERT INN RD STE 4, LAS VEGAS, NV 89169-2550
(702) 405-6163
(702) 405-6492
Mailing address
1500 E DESERT INN RD STE 4, LAS VEGAS, NV 89169-2550
(702) 405-6163
(702) 405-6492
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV20222443817
—
NV
Enumeration date
05/19/2022
Last updated
05/19/2022
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