MEDICARE: GOLDEN DAYS BEHAVIORAL CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1861033649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN DAYS BEHAVIORAL CENTER LLC

Provider Business Mailing Address
First Line	:	3340 TOPAZ ST STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3906
Country	:	US
Telephone Number	:	702-246-2243
Fax Number	:

Provider Business Practice Location Address
First Line	:	3340 TOPAZ ST STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3906
Country	:	US
Telephone Number	:	702-246-2243
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZACH NEWLAND
Credential	:
Telephone Number	:	702-539-6295

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	10/12/2023

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