| Name | PHYLLIS A. TELLIS |
|---|---|
| Address | 4107 W. CHEYENNE SUITE 101 |
| City | N.LAS VEGAS |
| State | NV |
| Zip | 89032 |
| Mailing Address | 4107 W. CHEYENNE SUITE 101 |
| Mailing Address 2 | 4107 W. CHEYENNE SUITE 101 |
| Mailing City | N.LAS VEGAS |
| Mailing State | NV |
| Mailing Zip | 89032 |
| Agent Type | Noncommercial Registered Agent |
| Company | CSSI BEHAVIORAL HEALTH SERVICES, LLC |
|---|---|
| Entity Number | E0235452013-5 |
| NV Business ID | NV20131286761 |