Organization
STATE OF NEVADA - DWTC
Active
Other names
Desert Willow Treatment Center, State of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA STONE (MANAGEMENT ANALYST 4)
(702) 486-8226
Entity
Organization
Contact information
Practice address
6171 W CHARLESTON BLVD BLDG 17, LAS VEGAS, NV 89146-1126
(702) 486-6100
(702) 486-6057
Mailing address
500 E WARM SPRINGS RD, LAS VEGAS, NV 89119-4344
(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
—
006302200
—
NV
Enumeration date
04/25/2006
Last updated
02/13/2025
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