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NEVADA INTEGRATED BEHAVIORAL SERVICES INC. NPI 1104308147


NPI Information

NPI: 1104308147
Provider Name: NEVADA INTEGRATED BEHAVIORAL SERVICES INC.

Doing Business As: NEVADA TREATMENT CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1721 E CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89104
Phone:
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NEVADA INTEGRATED BEHAVIORAL SERVICES INC. is a rehabilitation and substance use disorder clinic center in Las Vegas, NV. NEVADA INTEGRATED BEHAVIORAL SERVICES INC. NPI is 1104308147. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nevada Treatment Center.

The provider's business location address is:

1721 E CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89104-902

The provider's authorized official is Festus Ebonka .
The authorized official title is Owner and has the following contact phone number (702) 515-9680.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 9/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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