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Organization

DESERT STATE DAY TREATMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IMANI BUTLER (OWNER)
(702) 556-8102
Entity
Organization

Contact information

Practice address
6396 MCLEOD DR STE 6, LAS VEGAS, NV 89120-4429
(702) 556-8102
Mailing address
11389 OGDEN MILLS DR UNIT 103, LAS VEGAS, NV 89135-3324
(702) 556-8102

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20161177555
NV

Other

Enumeration date
05/03/2016
Last updated
05/03/2016
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