Organization
STATE OF NEVADA - PRTF NORTH
Active
Parent organization
SATE OF NEVADA
Other names
State of Nevada, PRTF North
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATE OF NEVADA
Authorized official
SANDRA STONE (MANAGEMENT ANALYST 4)
(702) 486-8226
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY BLDG 8N, SPARKS, NV 89431
(775) 688-1633
(775) 688-1640
Mailing address
500 E WARM SPRINGS RD, LAS VEGAS, NV 89119-4344
(702) 486-8226
(702) 466-6057
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250010320
—
NV
Enumeration date
03/12/2020
Last updated
02/13/2025
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