NPI 1245596790
State of Nevada
Practice location
- Address
- 6161 W Charleston Blvd, Las Vegas, NV 89146-1126
- Phone
- (702) 486-0996
- Fax
- (702) 486-6238
Authorised official
- Name
- Stuart Ghertner
- Title
- Agency Director
- Phone
- (702) 486-6238
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1245596790
- Entity type
- Organization
- NPI issued
- 10 Apr 2012
- Record last updated
- 10 Apr 2012
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.