Organization
NO SOLE PROPRIETOR
Active
Other names
Majestic Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMARI WALTON I (BST)
(702) 539-9259
Entity
Organization
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 869-4300
Mailing address
7904 FARRALON RIDGE CT, LAS VEGAS, NV 89149-3769
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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