Organization
INNOVATION BEHAVIORAL HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA GRAY B.A.; M.S. STUDENT (OWNER/CEO)
(702) 541-3563
Entity
Organization
Contact information
Practice address
2340 PASEO DEL PRADO STE D305, LAS VEGAS, NV 89102-4342
(866) 604-6812
Mailing address
1876 VERDE MIRADA DR, LAS VEGAS, NV 89115-3844
(702) 541-3563
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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