NPI | 1538712351 |
---|---|
Doing Business As | MERIDIAN BEHAVIORAL HEALTH, LLC |
Entity Type | Organization |
Authorized Contact | DEREK WISE Owner 702-604-2498 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2019-07-21 |
Last Update Date | 2024-09-30 |