Organization
SPIRIT & MIND BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE TAIWO BS MAT MAEL (MANAGER/OWNER)
(702) 761-6567
Entity
Organization
Contact information
Practice address
7455 ARROYO CROSSING PKWY STE 220, LAS VEGAS, NV 89113
(702) 761-6567
Mailing address
7455 ARROYO CROSSING PKWY STE 220, LAS VEGAS, NV 89113-4088
(702) 761-6567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181527395
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720595374
—
NV
Enumeration date
07/25/2018
Last updated
09/28/2018
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