| Osom Behavior Management | |
|
2616 Slide Canyon Ave North Las Vegas NV 89081 | |
| (702) 981-0391 | |
| Not Available |
| Full Name | Osom Behavior Management |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2616 Slide Canyon Ave, North Las Vegas, Nevada |
| Authorized Official Name and Position | Wallace E. Harris (CEO/PSYCHOSOCIAL REHABILITATIVE SPE) |
| Authorized Official Contact | 7029810391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osom Behavior Management 2616 Slide Canyon Ave North Las Vegas NV 89081 Ph: (702) 981-0391 | Osom Behavior Management 2616 Slide Canyon Ave North Las Vegas NV 89081 Ph: (702) 981-0391 |
| NPI Number | 1386922136 |
|---|---|
| Provider Enumeration Date | 07/28/2011 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386922136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20101771798 (Nevada) | Primary |
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