State of Nevada

NPI #1932304920 in Las Vegas, Nevada

Provider Information

NPI Number: 1932304920
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jun 19, 2007
Last Updated: Sep 25, 2007

Practice Location

Address: 6171 W CHARLESTON BLVD
Address 2: BLDG. # 12-14
City: Las Vegas
State: Nevada
ZIP Code: 89146-1126
Phone: (702) 486-6100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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