NPI 1639683469
Ccf Health & Behavioral LLC
Practice location
- Address
- 5109 Ackaburg CT, Las Vegas, NV 89130-2148
- Phone
- (702) 285-4138
Authorised official
- Name
- Antwon Tellis
- Title
- Owner
- Phone
- (702) 285-4138
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1639683469
- Entity type
- Organization
- NPI issued
- 1 Dec 2017
- Record last updated
- 1 Dec 2017
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.