Provider Demographics
NPI:1285158543
Name:K. A. I BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:K. A. I BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDOLPH-FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-534-8122
Mailing Address - Street 1:1305 EMERYWOOD CT APT D
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-9048
Mailing Address - Country:US
Mailing Address - Phone:1702-534-8122
Mailing Address - Fax:
Practice Address - Street 1:1305 EMERYWOOD CT APT D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-9048
Practice Address - Country:US
Practice Address - Phone:1702-534-8122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2017-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness