Organization
NEVADA MENTORING AND BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENESA L HINES (MANAGER)
(702) 858-3160
Entity
Organization
Contact information
Practice address
1117 COBBLESTONE COVE RD, NORTH LAS VEGAS, NV 89081-3072
(702) 858-3160
Mailing address
1117 COBBLESTONE COVE RD, NORTH LAS VEGAS, NV 89081-3072
(702) 858-3160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20141775229
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV2123
—
NV
Enumeration date
12/20/2014
Last updated
12/20/2014
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