OrganizationActive
Unexpected Changes
NPI 1366767816 · Substance Abuse Rehabilitation Facility · Las Vegas, NV
Provider details
- NPI number
- 1366767816
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jacqueline Edwards, Ceo/Owner(702) 353-2467
Specialties & taxonomies
Residential Treatment Facilities
Practice location
424 Marion Dr
Las Vegas, NV 89110-3473
Phone: (702) 353-2467
Fax: (702) 538-8263
Approximate (ZIP-level) locationGet directions
Mailing address
4701 Lawrence St Unit 1138
North Las Vegas, NV 89081-4200
Registry dates
- Enumerated
- 2010-03-27
- Last updated
- 2010-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.