Blue Rose Behavioral Health Llc | |
1400 E Reno Ave Apt 52 Las Vegas NV 89119-1681 | |
(702) 927-5201 | |
Not Available |
Full Name | Blue Rose Behavioral Health Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1400 E Reno Ave Apt 52, Las Vegas, Nevada |
Authorized Official Name and Position | Jaynise Porter (OWNER) |
Authorized Official Contact | 7029275201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blue Rose Behavioral Health Llc 1400 E Reno Ave Apt 52 Las Vegas NV 89119-1681 Ph: (702) 927-5201 | Blue Rose Behavioral Health Llc 1400 E Reno Ave Apt 52 Las Vegas NV 89119-1681 Ph: (702) 927-5201 |
NPI Number | 1003588211 |
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Provider Enumeration Date | 10/05/2021 |
Last Update Date | 10/05/2021 |
Certification Date | 10/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003588211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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