Organization
ASSURANT BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRISCILLA V OTOO-DAVIS (DIRECTOR)
(702) 453-4673
Entity
Organization
Contact information
Practice address
2001 S RAINBOW BLVD STE 130, SUITE 130, LAS VEGAS, NV 89146-2900
(702) 453-4673
(702) 453-2673
Mailing address
2001 S RAINBOW BLVD STE 130, SUITE 130, LAS VEGAS, NV 89146-2900
(702) 453-4673
(702) 453-2673
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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