Ah Providers

Organization Active NPI Community/Behavioral Health Agency · North Las Vegas, NV

NPI 1679079461 · NPPES record last updated Apr 2, 2018

Key facts

NPI
1679079461
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
AH PROVIDERS
Practice address
4147 Glass Lantern Dr
North Las Vegas, NV 89032-3063
Phone
(702) 340-9456
NPI assigned
Apr 2, 2018
Organization subpart
No

Authorized official

Name
Adrian Tolliver Haywood
Title
Owner
Phone
(702) 340-9456

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

4147 Glass Lantern Dr
North Las Vegas, NV 89032-3063

Mailing address

4147 Glass Lantern Dr
North Las Vegas, NV 89032-3063
Phone (702) 340-9456

Other providers in North Las Vegas, NV

All providers in North Las Vegas, NV · Community/Behavioral Health Agency in Nevada

Sources for this page

Verify at the official NPI Registry.