Healthcare Provider Details

I. General information

NPI: 1831426964
Provider Name (Legal Business Name): SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S 7TH ST SUITE 200
LAS VEGAS NV
89101-6932
US

IV. Provider business mailing address

5342 HOLLYMEAD DR
LAS VEGAS NV
89135-4021
US

V. Phone/Fax

Practice location:
  • Phone: 702-668-4687
  • Fax: 702-668-4624
Mailing address:
  • Phone: 702-463-5128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License NumberRN37774
License Number StateNV

VIII. Authorized Official

Name: MS. PATRICIA ANN ANCHARSKI
Title or Position: RN
Credential: RN
Phone: 702-668-4687