Nv St Dv Mh Ds So Nv Mr Svcs

NPI #1760544969 in Las Vegas, Nevada

Provider Information

NPI Number: 1760544969
Entity Type: Organization
Organization Name: Nv St Dv Mh Ds So Nv Mr Svcs
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 14, 2006
Last Updated: Feb 3, 2021

Practice Location

Address: 1391 S JONES BLVD
City: Las Vegas
State: Nevada
ZIP Code: 89146-1200
Phone: (702) 486-6200

Authorized Official

Name: MICHELLE L. ASHCRAFT
Title: ADMIN SERVICE OFFICER III
Phone: (775) 687-0511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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