NPI 1003173196
The Village Behavior Health Services, LLC
Practice location
- Address
- 6330 McLeod Dr Suite 4&5, Las Vegas, NV 89120-4430
- Phone
- (702) 437-0341
- Mailing address
- 17127 W Bernardo Dr Unit 207, San Diego, CA 92127-1513
Authorised official
- Name
- Randy Fulton
- Title
- Co Owner
- Phone
- (619) 206-0963
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003173196
- Entity type
- Organization
- NPI issued
- 13 Apr 2012
- Record last updated
- 13 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.