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Community/Behavioral Health in Las Vegas, NV. Organization (NPI-2).

NPI number1275215840
StatusActive
Last updated in NPPESAug 3, 2023

Details

NPI
1275215840
Entity type
Organization (NPI-2)
Legal business name
Driversity
Organization subpart
No
Enumeration date
Aug 3, 2023
Certification date
Jul 29, 2023
Last updated
Aug 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
103K00000X Behavior Analyst––
253J00000X Foster Care Agency––
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances––
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––

Practice location

304 S Jones Blvd # 8821
Las Vegas, NV 89107-2623

Phone 702-578-1933

Mailing address

304 S Jones Blvd # 8821
Las Vegas, NV 89107-2623

Phone 702-578-1933

Authorized official

Robert Taylor
Cfo
7022022998

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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