Whalio Doctors

NPI 1639683469

Ccf Health & Behavioral LLC

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

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
Residential Treatment Facilities Taxonomy 320900000X

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.