Organization
BEHAVIOR HEALTH LINE LLC
Active
Other names
Behavior Health Line LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAYZINE AYALA (MANAGING MEMBER)
(702) 588-1111
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD STE 360, LAS VEGAS, NV 89119-5190
(725) 724-9154
Mailing address
1350 E FLAMINGO RD STE 13B251, LAS VEGAS, NV 89119-5263
(702) 588-1111
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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