Organization
E&A BEHAVIORAL AND MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ANTHONY EDWARDS PH.D. (PRESIDENT)
(775) 841-3116
Entity
Organization
Contact information
Practice address
401 DAYTON VALLEY RD, SUITE H, DAYTON, NV 89403-8928
(775) 841-3116
Mailing address
PO BOX 115, DAYTON, NV 89403-0115
(775) 841-3116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
213013
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0641862005-6
CORPORATION NUMBER
NV
Enumeration date
04/09/2007
Last updated
11/25/2011
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