| 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 |
|---|---|
| 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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