Organization
STATE OF NEVADA
Active
Other names
Southern Nevada Adult Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
LORI JUDGE MBA (ADMINISTRATIVE SERVICES OFFICER III)
(702) 486-6099
Entity
Organization
Contact information
Practice address
1650 COMMUNITY COLLEGE DR, LAS VEGAS, NV 89146-1144
(702) 486-4400
Mailing address
6161 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-6000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019897
—
NV
01
—
VWCHCV
MEDICARE BILLING GROUP
NV
Enumeration date
09/11/2007
Last updated
01/28/2009
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