Organization
OCEAN MENTAL & BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DEVON LEWELLYN FOUNDER (AUTHORIZED ADMINISTRATOR)
(702) 807-9392
Entity
Organization
Contact information
Practice address
8871 W FLAMINGO RD, SUITE 202, LAS VEGAS, NV 89147-8728
(702) 807-9392
Mailing address
8871 W FLAMINGO RD, SUITE 202, LAS VEGAS, NV 89147-8728
(702) 807-9392
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
01/20/2010
Last updated
06/30/2010
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