Organization · Type 2 NPI
Ebonny Behavioral Care Services Corporation
Primary Care Clinic/Center · Las Vegas, NV
NPI number
1467801134
Active
Practice location
1721 E Charleston Blvd Ste 300
Las Vegas, NV 89104-1902
Fax (702) 685-9674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1467801134
Ebonny Behavioral Care Services Corporation's National Provider Identifier is 1467801134, issued on Jun 3, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 24, 2025.