NPI 1093030017

Unepected Changes

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Las Vegas, NV

Practice location

Address: 428 Marion Dr, Las Vegas, NV 89110-3473
Phone: (702) 353-2467
Mailing address: 4701 Lawrence St Unit 1138, North Las Vegas, NV 89081-4200

Authorised official

Name: Jacqueline C Edwards
Title: Ceo/Owner
Phone: (702) 353-2467

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Nevada →

Registry record

NPI: 1093030017
Entity type: Organization
NPI issued: 1 Apr 2010
Record last updated: 1 Apr 2010

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.