Organization
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FESTUS EBONKA (OWNER/PRESIDENT)
(702) 515-9680
Entity
Organization
Contact information
Practice address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 515-9680
Mailing address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 515-9680
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
NV20131553514
NV
261QM0855X
Adolescent and Children Mental Health Clinic/Center
NV20131553514
NV
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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