Impact Interventions Behavioral Health Services LLC

NPI #1528480670 in Las Vegas, Nevada

Provider Information

NPI Number
1528480670
Entity Type
Organization
Organization Name
Impact Interventions Behavioral Health Services LLC
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Jan 9, 2014
Last Updated
Jan 9, 2014

Practice Location

Address
8109 IVY HOLLOW CT
State
Nevada
ZIP Code
89143-5168
Phone
(702) 573-5813

Authorized Official

Name
DARRELL TELLIS
Title
MANAGER
Phone
(702) 573-5813

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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