Provider Demographics
NPI:1639653595
Name:A NEW MIND HEALTH SERVICES INC
Entity Type:Organization
Organization Name:A NEW MIND HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLISADUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-551-2987
Mailing Address - Street 1:320 N NELLIS BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-5390
Mailing Address - Country:US
Mailing Address - Phone:702-551-2987
Mailing Address - Fax:
Practice Address - Street 1:320 N NELLIS BLVD STE 6
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-5390
Practice Address - Country:US
Practice Address - Phone:702-551-2987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone