Iris Behavioral Health and Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IRIS BEHAVIORAL HEALTH AND WELLNESS CENTER

Practice address

5876 S Pecos Rd
Las Vegas, NV 89120-3418

Phone

(702) 358-7029

NPI assigned

Oct 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Okechukwu Etoniru

Title

Director

Phone

(702) 358-7029

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IRIS BEHAVIORAL HEALTH AND WELLNESS CENTER Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1306509286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5876 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203418",
            "telephone_number": "702-358-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5876 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203418",
            "telephone_number": "702-358-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS BEHAVIORAL HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "ETONIRU",
        "authorized_official_first_name": "OKECHUKWU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-358-7029",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRIS BEHAVIORAL HEALTH AND WELLNESS CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.