CENTER FOR BEHAVIORAL HEALTH NEVADA INC NPI 1083797484

NPI Information

NPI: 1083797484
Provider Name: CENTER FOR BEHAVIORAL HEALTH NEVADA, INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 29D2147831

Address:
3050 EAST DESERT ROAD
SUITE 116
LAS VEGAS, NV
ZIP 89121
Phone: (702) 796-0660
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CENTER FOR BEHAVIORAL HEALTH NEVADA, INC is a methadone clinic center in Las Vegas, NV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CENTER FOR BEHAVIORAL HEALTH NEVADA, INC NPI is 1083797484. The provider is registered as an organization entity type.

The provider's business location address is:

3050 EAST DESERT ROAD
SUITE 116
LAS VEGAS, NV
ZIP 89121
Phone: (702) 796-0660
Fax: (702) 796-1835

The provider's authorized official is Mary Massman .
The authorized official title is Owner and has the following contact phone number (702) 796-0660.

The CLIA number assigned to this NPI record is 29D2147831 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/24/2011.

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	261QM2800X	Clinic/Center	Methadone	2569NTC-7	NEVADA	No
2	261QM2800X	Clinic/Center	Methadone		NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001702150	MEDICAID	NEVADA

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: 4/28/2024

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