State of Nevada - Dwtc

NPI #1811953003 in Las Vegas, Nevada

Provider Information

NPI Number
1811953003
Entity Type
Organization
Organization Name
State of Nevada - Dwtc
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Apr 25, 2006
Last Updated
Feb 13, 2025

Practice Location

Address
6171 W CHARLESTON BLVD BLDG 17
State
Nevada
ZIP Code
89146-1126
Phone
(702) 486-6100

Authorized Official

Name
SANDRA STONE
Title
MANAGEMENT ANALYST 4
Phone
(702) 486-8226

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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