Organization
CREATIVE LIFE BEHAVIORAL HEALTH SERVICE
Active
Organization
CREATIVE LIFE BEHAVIORAL HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETTA I BANKS (BEHAVIORAL HEALTH SPECIALIST)
(702) 249-3668
Entity
Organization
Contact information
Practice address
5175 CAMINO EL NORTE, SUITE #100, NORTH LAS VEGAS, NV 89031
(702) 648-3913
Mailing address
5175 CAMINO EL NORTE, SUITE #100, NORTH LAS VEGAS, NV 89031
(702) 648-3913
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
X
NV
Other
Enumeration date
07/17/2013
Last updated
07/21/2022
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