Organization
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Active
Parent organization
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Other names
Nevada Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Authorized official
MR. FESTUS EBONKA EBONKA APRN (PROGRAM DIRECTOR)
(702) 515-9680
Entity
Organization
Contact information
Practice address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 685-0620
(702) 685-9674
Mailing address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 685-0620
(702) 685-9674
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
8352NTC-0
NV
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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