# FIVE SANDS TREATMENT SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518613884
- **Authorized official:** MR. MORDECHAI BURSZTYN (VP OF OPERATIONS)
- **Authorized official phone:** (848) 261-1230

## Contact information

- **Practice address:** 6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
- **Practice address phone:** (732) 813-4677
- **Mailing address:** 311 BOULEVARD OF THE AMERICAS, STE 305, LAKEWOOD, NJ 08701
- **Mailing address phone:** (848) 261-1230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2022
- **Last updated:** 03/22/2022