Organization
F.A.I.T.H. BEHAVIORAL SERVICES AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IESHA CHANEY (OWNER)
(702) 331-0951
Entity
Organization
Contact information
Practice address
4175 N RANCHO DR STE 160, LAS VEGAS, NV 89130-3472
(702) 331-0951
Mailing address
4175 N RANCHO DR STE 160, LAS VEGAS, NV 89130-3472
(702) 331-0951
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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