Organization
NORTH LAS VEGAS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK A WAN (CEO)
(702) 586-5999
Entity
Organization
Contact information
Practice address
3131 W CRAIG RD STE 180, NORTH LAS VEGAS, NV 89032
(702) 586-5999
(702) 586-5991
Mailing address
3131 W CRAIG RD STE 180, NORTH LAS VEGAS, NV 89032-0861
(702) 586-5999
(702) 586-5991
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
NV20151645220
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578935508
—
NV
Enumeration date
04/10/2018
Last updated
06/21/2018
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