Organization
GOLDEN ROAD BEHAVIORAL HEALTH SVC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALKIA LOCKETT (MGR/MG)
(702) 980-2842
Entity
Organization
Contact information
Practice address
1700 E DESERT INN RD STE 304B, LAS VEGAS, NV 89169-3207
(702) 265-1112
(702) 442-8469
Mailing address
1700 E DESERT INN RD STE 304B, LAS VEGAS, NV 89169-3207
(702) 980-2842
(702) 442-8469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NV
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
10/16/2018
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