Organization
CSSI BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS TELLIS (OWNER)
(702) 639-4400
Entity
Organization
Contact information
Practice address
3620 N RANCHO DR, SUITE 111, LAS VEGAS, NV 89130-3155
(702) 639-4400
(702) 639-4403
Mailing address
3620 N RANCHO DR, SUITE 111, LAS VEGAS, NV 89130-3155
(702) 639-4400
(702) 639-4403
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8182PCS-0
NV
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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