Provider Demographics
NPI:1699219915
Name:ZURI BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:ZURI BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:COE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-409-0356
Mailing Address - Street 1:1950 N WALNUT RD
Mailing Address - Street 2:APT 221
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-6409
Mailing Address - Country:US
Mailing Address - Phone:702-409-0356
Mailing Address - Fax:
Practice Address - Street 1:1950 N WALNUT RD
Practice Address - Street 2:APT 221
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-6409
Practice Address - Country:US
Practice Address - Phone:702-409-0356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental IllnessGroup - Single Specialty