Provider Demographics
NPI:1669962759
Name:NEW CENTURY BHS, LLC
Entity type:Organization
Organization Name:NEW CENTURY BHS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-777-3440
Mailing Address - Street 1:1771 E FLAMINGO RD STE 112B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0851
Mailing Address - Country:US
Mailing Address - Phone:725-777-3440
Mailing Address - Fax:725-777-3660
Practice Address - Street 1:1771 E FLAMINGO RD STE 111B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0851
Practice Address - Country:US
Practice Address - Phone:725-777-3440
Practice Address - Fax:725-777-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20181322926251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health