Whalio Doctors

NPI 1013497452

Golden Road Behavioral Health Svc LLC

Organisation Community/Behavioral Health Agency Las Vegas, NV

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
Agencies Taxonomy 251S00000X
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X

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.