Provider Demographics
NPI:1790026771
Name:NEW DISCOVERIES BEHAVIORAL & FAMILY SVC
Entity Type:Organization
Organization Name:NEW DISCOVERIES BEHAVIORAL & FAMILY SVC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DELLISA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MA EDU , MA CJ
Authorized Official - Phone:702-232-9451
Mailing Address - Street 1:3925 N MARTIN LUTHER KING BLVD
Mailing Address - Street 2:STE 212
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89033
Mailing Address - Country:US
Mailing Address - Phone:702-232-9451
Mailing Address - Fax:
Practice Address - Street 1:3925 N MARTIN LUTHER KING BLVD
Practice Address - Street 2:STE 212
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89033
Practice Address - Country:US
Practice Address - Phone:702-232-9451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health