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
6161 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-6000
Mailing address
6161 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-6000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005402897
—
NV
Enumeration date
08/27/2007
Last updated
01/29/2009
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