Organization
SQUARE ONE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EAPREL INMAN (OWNER)
(702) 292-0353
Entity
Organization
Contact information
Practice address
5650 E SAHARA AVE UNIT 1038, LAS VEGAS, NV 89142-2074
(702) 292-0353
Mailing address
5650 E SAHARA AVE UNIT 1038, LAS VEGAS, NV 89142-2074
(702) 292-0353
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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