Organization
IMPACT BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN PRIDGEON (EXCEUTIVE DIRECTOR)
(702) 858-7086
Entity
Organization
Contact information
Practice address
8301 BOSECK DR UNIT 229, LAS VEGAS, NV 89145-4558
(702) 858-7086
Mailing address
8301 BOSECK DR UNIT 229, LAS VEGAS, NV 89145-4558
(702) 858-7086
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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