# MOJAVE MENTAL HEALTH

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

## Provider details

- **NPI number:** 1831494673
- **Authorized official:** LASHARE EDWARDS REGISTERED NURSE (RN)
- **Authorized official phone:** (310) 555-1212

## Contact information

- **Practice address:** 4000 E CHARLESTON BLVD, STE 230, LAS VEGAS, NV 89104-6659
- **Practice address phone:** (702) 555-1212
- **Mailing address:** 4000 E CHARLESTON BLVD, HM \# 617, LAS VEGAS, NV 89104-6659
- **Mailing address phone:** (702) 555-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | RN67139 | NV | Yes |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 01/25/2011