State of Nevada

NPI #1932276383 in Las Vegas, Nevada

Provider Information

NPI Number: 1932276383
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6171 W CHARLESTON BLVD
Address 2: BLDG # 12-14
City: Las Vegas
State: Nevada
ZIP Code: 89146-1126
Phone: (702) 486-6166

Authorized Official

Name: MR. JEFF MORROW
Title: ADMINISTRATIVE SERVICES OFFICER
Phone: (702) 486-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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