Organization
YOUR CHOICE BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY CLARKE (OWNERADMINISTRATOR DIRECTOR)
(702) 985-2345
Entity
Organization
Contact information
Practice address
3785 E SUNSET RD # A-10, LAS VEGAS, NV 89120-6259
(702) 985-2345
Mailing address
3785 E SUNSET RD # A-10, LAS VEGAS, NV 89120-6259
(702) 985-2345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316279185
—
NV
Enumeration date
08/22/2011
Last updated
08/22/2011
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