Individual provider · Type 1 NPI

O'Broderic Mytiawo Sanders Ii

Community/Behavioral Health Agency · Las Vegas, NV

NPI number 1205347333 Active

Practice location

1516 E Tropicana Ave
Las Vegas, NV 89119-6525

Call (702) 586-9674 Map

Mailing address

6624 Brooklyn Heights St
Las Vegas, NV 89166-8020

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1205347333

O'Broderic Mytiawo Sanders Ii's National Provider Identifier is 1205347333, issued on Oct 16, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 16, 2017.