NPI 1659677870

Mobile Mental Health

Organisation Mental Illness Community Based Residential Treatment Facility North Las Vegas, NV

Practice location

Address: 736 Hill Shine Ave, North Las Vegas, NV 89031-2394
Phone: (702) 462-3604

Authorised official

Name: Illyas Malik Jenkins
Title: Independent Contractor
Phone: (702) 462-3604

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Nevada →

Registry record

NPI: 1659677870
Entity type: Organization
NPI issued: 5 Feb 2011
Record last updated: 5 Feb 2011

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.