OrganizationActive
State of Nevada - Dwtc
NPI 1811953003 · Psychiatric Residential Treatment Facility · Las Vegas, NV
Provider details
- NPI number
- 1811953003
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sandra Stone, Management Analyst 4(702) 486-8226
Specialties & taxonomies
Residential Treatment Facilities
Practice location
6171 W Charleston Blvd Bldg 17
Las Vegas, NV 89146-1126
Phone: (702) 486-6100
Fax: (702) 486-6057
Approximate (ZIP-level) locationGet directions
Mailing address
500 E Warm Springs Rd
Las Vegas, NV 89119-4344
Other names (DBA / former)
- Doing business as
- Desert Willow Treatment Center
- Doing business as
- State of Nevada
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.