State of Nevada

NPI #1740370006 in Laughlin, Nevada

Provider Information

NPI Number: 1740370006
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 14, 2006
Last Updated: Oct 10, 2007

Practice Location

Address: 3650 S POINTE CIR
Address 2: SUITE 208
City: Laughlin
State: Nevada
ZIP Code: 89029-0424
Phone: (702) 298-5313

Authorized Official

Name: MR. RAY C KENDALL, LCSW
Title: AGENCY DIRECTOR
Phone: (775) 687-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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