Organization
INFINITE WAY BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MARIA WARNER (MANAGER)
(904) 699-0032
Entity
Organization
Contact information
Practice address
1113 VIA MONTICANO, HENDERSON, NV 89052-1502
(904) 699-0032
Mailing address
1113 VIA MONTICANO, HENDERSON, NV 89052-1502
(904) 699-0032
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20171265805
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639508260
—
NV
Enumeration date
10/30/2017
Last updated
06/16/2018
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