OrganizationActive
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NPI 1760544969 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Las Vegas, NV
Provider details
- NPI number
- 1760544969
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michelle Ashcraft, Admin Service Officer III(775) 687-0511
- License
- 698IMR-16 (NV)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 698IMR-16 (NV)
Residential Treatment Facilities
Practice location
1391 S Jones Blvd
Las Vegas, NV 89146-1200
Phone: (702) 486-6200
Fax: (702) 486-6368
Approximate (ZIP-level) locationGet directions
Mailing address
1391 S Jones Blvd
Las Vegas, NV 89146-1200
Other names (DBA / former)
- Other name
- Desert Regional Center
- Other name
- Desert Regional Center
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.