Organization
STATE OF NEVADA
Active
Parent organization
STATE OF NEVADA
Other names
PRTF Enterprise
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEVADA
Authorized official
SANDRA STONE (MANAGEMENT ANALYST 3)
(702) 486-8226
Entity
Organization
Contact information
Practice address
2655 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-1600
Mailing address
1350 S JONES BLVD STE 220, LAS VEGAS, NV 89146-1233
(702) 486-8226
(702) 486-6057
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250010316
—
NV
Enumeration date
03/24/2020
Last updated
09/20/2023
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