Provider First Line Business Practice Location Address:
3085 S. JONES BLVD. SUITE D
Provider Second Line Business Practice Location Address:
MOBILE MENTAL HEALTH SUPPORT SERVICES, INC.
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-826-3219
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2014