Healthcare Provider Details

I. General information

NPI: 1205600467
Provider Name (Legal Business Name): DESERT TREATMENT BEHAVIORAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2598 WINDMILL PKWY STE 100
HENDERSON NV
89074-5476
US

IV. Provider business mailing address

2598 WINDMILL PKWY STE 100
HENDERSON NV
89074-5476
US

V. Phone/Fax

Practice location:
  • Phone: 702-248-0000
  • Fax: 702-933-5545
Mailing address:
  • Phone: 702-248-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NGANHA CHEUNG
Title or Position: OWNER
Credential:
Phone: 702-222-7777