NPI 1013497452
Golden Road Behavioral Health Svc LLC
Practice location
- Address
- 1700 E Desert Inn Rd STE 304b, Las Vegas, NV 89169-3207
- Phone
- (702) 265-1112
- Fax
- (702) 442-8469
Authorised official
- Name
- Malkia Lockett
- Title
- Mgr/Mg
- Phone
- (702) 980-2842
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Behavior Technician
Registry record
- NPI
- 1013497452
- Entity type
- Organization
- NPI issued
- 15 Aug 2018
- Record last updated
- 16 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.