Mobile Mental Health
NPI #1659677870 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1659677870
- Entity Type
- Organization
- Organization Name
- Mobile Mental Health
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Feb 5, 2011
- Last Updated
- Feb 5, 2011
Practice Location
- Address
- 736 HILL SHINE AVE
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89031-2394
- Phone
- (702) 462-3604
Authorized Official
- Name
- ILLYAS MALIK JENKINS, BS,QMHA
- Title
- INDEPENDENT CONTRACTOR
- Phone
- (702) 462-3604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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