Organization · Type 2 NPI

State of Nevada

Mental Illness Community Based Residential Treatment Facility · Las Vegas, NV

NPI number 1114094562 Active

Practice location

6171 W Charleston Blvd, Bldg. # 12-14
Las Vegas, NV 89146-1126

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

83 other providers at this address

Other mental illness community based residential treatment facility providers in Las Vegas

See all in Las Vegas →

NPI record

NPI: 1114094562
Entity type: Organization (Type 2)
Issued: Nov 29, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

<unavail>
State of Nevada, Dhhs, Division of Child and Family Services · doing business as

Authorized official

Mr. Jeff Morrow
Administrative Services Officer
(702) 486-6100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1114094562

State of Nevada's National Provider Identifier is 1114094562, issued on Nov 29, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 22, 2020.