Organization
ISU INC
Active
Organization
ISU INC
Active
Other names
Triple C Behavior Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHUKA E. HUMPHREYS PH.D (PRESIDENT)
(702) 459-7500
Entity
Organization
Contact information
Practice address
1745 N. NELLIS BLVD, STE A, LAS VEGAS, NV 89115-3673
(702) 459-7500
(702) 459-1176
Mailing address
1745 N. NELLIS BLVD, STE A, LAS VEGAS, NV 89115-3673
(702) 459-7500
(702) 476-2028
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20041671856
NV
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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