NPI 1255980074

Clark County Medical Services

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Las Vegas, NV

Practice location

Address: 2680 Karen Ave APT 1, Las Vegas, NV 89121-1158
Phone: (702) 801-4734

Authorised official

Name: Zola Gourdin
Title: Owner
Phone: (702) 801-4734

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Nevada →

Registry record

NPI: 1255980074
Entity type: Organization
NPI issued: 4 Sep 2019
Record last updated: 4 Sep 2019

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.