Organization
LIFE CHANGES BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA KENT (OWNER)
(702) 401-5398
Entity
Organization
Contact information
Practice address
6300 MCCARRAN ST, NORTH LAS VEGAS, NV 89081-8135
(702) 401-5398
Mailing address
6300 MCCARRAN ST, NORTH LAS VEGAS, NV 89081-8135
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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