Organization
SRD GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA D DAVIS (PRESIDENT)
(702) 373-8361
Entity
Organization
Contact information
Practice address
951 HONEY SUCKLE ST, PAHRUMP, NV 89048
(702) 353-7667
(702) 656-9152
Mailing address
6600 W CHARLESTON BLVD STE 121, LAS VEGAS, NV 89146-9237
(702) 353-7667
(702) 656-9152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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