Organization
ACTIVE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT LLAUGER (OWNER)
(702) 981-1153
Entity
Organization
Contact information
Practice address
2600 S TOWN CENTER DR, LAS VEGAS, NV 89135-2064
(702) 981-1153
(702) 981-1153
Mailing address
2600 S TOWN CENTER DR, 2042, LAS VEGAS, NV 89135-2064
(702) 981-1153
(702) 974-4555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063950608
—
NV
Enumeration date
08/15/2017
Last updated
06/16/2018
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