NPI 1134314412
State of Nevada
Practice location
- Address
- 1650 Community College Dr, Las Vegas, NV 89146-1144
- Phone
- (702) 486-4400
- Mailing address
- 6161 W Charleston Blvd, Las Vegas, NV 89146-1126
Authorised official
- Name
- Lori Judge
- Title
- Administrative Services Officer III
- Phone
- (702) 486-6099
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1134314412
- Entity type
- Organization
- NPI issued
- 11 Sep 2007
- Record last updated
- 28 Jan 2009
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.