Organization
NORTH LAS VEGAS BEHAVIORAL HEALTH
Active
Parent organization
NORTH LAS VEGAS BEHAVIORAL HEALTH
Other names
North Las Vegas Adult Day Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH LAS VEGAS BEHAVIORAL HEALTH
Authorized official
KIRK A WAN (OWNER)
(702) 586-5999
Entity
Organization
Contact information
Practice address
3277 W CRAIG RD STE 100-130, NORTH LAS VEGAS, NV 89032-0792
(702) 586-5999
(702) 586-5991
Mailing address
3131 W CRAIG RD STE 180, NORTH LAS VEGAS, NV 89032-0861
(702) 469-7897
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578935508
—
NV
Enumeration date
06/25/2018
Last updated
06/25/2018
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