Provider Demographics
NPI:1356877831
Name:LOVING HEARTS BEHAVIORAL HEALTH SERVICE
Entity type:Organization
Organization Name:LOVING HEARTS BEHAVIORAL HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BINFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-203-9014
Mailing Address - Street 1:402 CENTER GREEN DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5222
Mailing Address - Country:US
Mailing Address - Phone:562-203-9014
Mailing Address - Fax:
Practice Address - Street 1:402 CENTER GREEN DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5222
Practice Address - Country:US
Practice Address - Phone:562-203-9014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health