Organization
ASAP BEHAVIORAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRUNSON QMHA (CO-OWNER)
(602) 358-4586
Entity
Organization
Contact information
Practice address
3150 W SAHARA AVE, B 21, LAS VEGAS, NV 89102-6002
(602) 358-4586
Mailing address
P.O. BOX 30635, LAS VEGAS, NV 89173-0635
(602) 358-4586
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154620904
—
NV
05
—
1497022081
—
NV
Enumeration date
05/24/2013
Last updated
06/06/2016
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