NPI 1316574064
State of Nevada
Practice location
- Address
- 2655 Enterprise Rd, Reno, NV 89512-1666
- Phone
- (775) 688-1600
- Mailing address
- 1350 S Jones Blvd STE 220, Las Vegas, NV 89146-1233
Authorised official
- Name
- Sandra Stone
- Title
- Management Analyst 3
- Phone
- (702) 486-8226
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1316574064
- Entity type
- Organization
- NPI issued
- 24 Mar 2020
- Record last updated
- 20 Sep 2023
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.