NEW START AT SECOND CHANCE NPI 1174931935

NPI Information

NPI: 1174931935
Provider Name: NEW START AT SECOND CHANCE
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
101 S RAINBOW BLVD STE 13
LAS VEGAS, NV
ZIP 89145
Phone: (702) 906-1174
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NEW START AT SECOND CHANCE is a community based residential treatment facility mental illness in Las Vegas, NV. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NEW START AT SECOND CHANCE NPI is 1174931935. The provider is registered as an organization entity type.

The provider's business location address is:

101 S RAINBOW BLVD STE 13
LAS VEGAS, NV
ZIP 89145-378
Phone: (702) 906-1174
Fax: (702) 910-2801

The provider's authorized official is Clifford Deshawn Osley .
The authorized official title is C.e.o and has the following contact phone number (702) 906-1174.

The enumeration date for this NPI number is 7/24/2014 and was last updated on 7/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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