Organization
FIVE SANDS TREATMENT SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORDECHAI BURSZTYN (VP OF OPERATIONS)
(848) 261-1230
Entity
Organization
Contact information
Practice address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(732) 813-4677
Mailing address
311 BOULEVARD OF THE AMERICAS, STE 305, LAKEWOOD, NJ 08701
(848) 261-1230
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
03/22/2022
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