Organization
SPIRIT OF DAVID BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVELL WORTHY (MANAGER)
(702) 957-8550
Entity
Organization
Contact information
Practice address
2113 SUN AVE APT B, N LAS VEGAS, NV 89030-8176
(702) 957-8550
Mailing address
2113 SUN AVE APT B, N LAS VEGAS, NV 89030-8176
(702) 957-8550
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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