STATE OF NEVADA

Community Based Residential Treatment Facility, Mental Illness

Active Organization
NPI: 1114094562

Practice Address

6171 W CHARLESTON BLVD
BLDG. # 12-14
Las Vegas, NV 89146

Phone: (702) 486-6166

Specialties

Specialty Code Primary License
Community Based Residential Treatment Facility, Mental Illness 320800000X Yes -

Frequently Asked Questions

NPI 1114094562 is the National Provider Identifier for STATE OF NEVADA, a Community Based Residential Treatment Facility, Mental Illness provider located in Las Vegas, NV. This NPI was enumerated on November 29, 2006.

Quick Facts

NPI
1114094562
Type
Organization
Enumerated
Nov 29, 2006
Last Updated
Aug 22, 2020

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