Provider Demographics
NPI:1073041406
Name:CHERISH HOPE BEHAVIORAL HEALTH CARE SERVICES
Entity type:Organization
Organization Name:CHERISH HOPE BEHAVIORAL HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:CHERI
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-955-2096
Mailing Address - Street 1:732 PICASSO PICTURE CT
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-3094
Mailing Address - Country:US
Mailing Address - Phone:702-518-9938
Mailing Address - Fax:
Practice Address - Street 1:732 PICASSO PICTURE CT
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-3094
Practice Address - Country:US
Practice Address - Phone:702-518-9938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2017-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty