Provider Demographics
NPI:1962893537
Name:HUMANBEHAVIORAL INSTITUTE
Entity type:Organization
Organization Name:HUMANBEHAVIORAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURSES
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUILIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-248-8866
Mailing Address - Street 1:6039 ELDORA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5687
Mailing Address - Country:US
Mailing Address - Phone:702-248-8866
Mailing Address - Fax:702-248-9640
Practice Address - Street 1:6039 ELDORA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5687
Practice Address - Country:US
Practice Address - Phone:702-248-8866
Practice Address - Fax:702-248-9640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007577251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health