Provider Demographics
NPI:1902227069
Name:ACE'S BEHAVIORAL HEALTH SERVICE
Entity Type:Organization
Organization Name:ACE'S BEHAVIORAL HEALTH SERVICE
Other - Org Name:ACE'S BEHAVIORAL HEALTH SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-577-6866
Mailing Address - Street 1:5708 ARROW TREE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-7277
Mailing Address - Country:US
Mailing Address - Phone:702-577-6266
Mailing Address - Fax:
Practice Address - Street 1:5708 ARROW TREE ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-7277
Practice Address - Country:US
Practice Address - Phone:702-577-6266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health