Healthcare Provider Details

I. General information

NPI: 1730979055
Provider Name (Legal Business Name): SOUTHERN HILLS COMPREHENSIVE TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6080 S FORT APACHE RD STE 105
LAS VEGAS NV
89148-5616
US

IV. Provider business mailing address

6080 S FORT APACHE RD STE 105
LAS VEGAS NV
89148-5616
US

V. Phone/Fax

Practice location:
  • Phone: 702-703-5848
  • Fax:
Mailing address:
  • Phone: 702-703-5848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHEREE ANNTIONETTE ROLLING
Title or Position: DISPENSING NURSE
Credential: LPN
Phone: 702-703-5848