Kingdom Behavioral Health, INC

NPI #1114259355 in Las Vegas, Nevada

Provider Information

NPI Number: 1114259355
Entity Type: Organization
Organization Name: Kingdom Behavioral Health, INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 11, 2010
Last Updated: Mar 22, 2011

Practice Location

Address: 4085 N RANCHO DR STE 120
City: Las Vegas
State: Nevada
ZIP Code: 89130-3467
Phone: (702) 349-8258

Authorized Official

Name: WILLIE EDWARD JOHNSON, LCSW
Title: DIRECTOR
Phone: (702) 349-8258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Community/Behavioral Health	251S00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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