NPI 1366929614

Positive Innergy Behavioral Health LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Las Vegas, NV

Practice location

Address: 901 Brush St, Las Vegas, NV 89107-4008
Phone: (702) 713-2659
Fax: (702) 750-9009

Authorised official

Name: Lemuel Allen
Title: Owner
Phone: (702) 713-2659

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1366929614
Entity type: Organization
NPI issued: 19 Jul 2018
Record last updated: 19 Jul 2018

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.