NPI 1417582230
State of Nevada - Prtf North
Practice location
- Address
- 480 Galletti Way Bldg 8n, Sparks, NV 89431
- Phone
- (775) 688-1633
- Fax
- (775) 688-1640
- Mailing address
- 500 E Warm Springs Rd STE 100, Las Vegas, NV 89119-4345
Authorised official
- Name
- Sandra Stone
- Title
- Management Analyst 4
- Phone
- (702) 486-8226
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1417582230
- Entity type
- Organization
- NPI issued
- 12 Mar 2020
- Record last updated
- 5 Aug 2026
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.