NPI 1912559584

Phoenix Rising Behavioral Health LLC

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

Practice location

Address: 618 Gilday CT, N Las Vegas, NV 89030-4059
Phone: (407) 534-0646

Authorised official

Name: Stevie Jerome Bouyer
Title: Owner
Phone: (407) 534-0646

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Nevada →

Registry record

NPI: 1912559584
Entity type: Organization
NPI issued: 12 Jul 2019
Record last updated: 12 Jul 2019

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.