Provider Demographics
NPI:1598017451
Name:REAL BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:REAL BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:LEVON
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, MSMHC
Authorized Official - Phone:702-416-0210
Mailing Address - Street 1:3306 CAPITOL REEF DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-7974
Mailing Address - Country:US
Mailing Address - Phone:702-416-0210
Mailing Address - Fax:
Practice Address - Street 1:3306 CAPITOL REEF DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7974
Practice Address - Country:US
Practice Address - Phone:702-416-0210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health