Golden Road Behavioral Health Svc Llc | |
1700 E Desert Inn Rd Ste 304b Las Vegas NV 89169-3207 | |
(702) 265-1112 | |
(702) 442-8469 |
Full Name | Golden Road Behavioral Health Svc Llc |
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Speciality | Community/behavioral Health |
Location | 1700 E Desert Inn Rd Ste 304b, Las Vegas, Nevada |
Authorized Official Name and Position | Malkia Lockett (MGR/MG) |
Authorized Official Contact | 7029802842 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Golden Road Behavioral Health Svc Llc 1700 E Desert Inn Rd Ste 304b Las Vegas NV 89169-3207 Ph: (702) 980-2842 | Golden Road Behavioral Health Svc Llc 1700 E Desert Inn Rd Ste 304b Las Vegas NV 89169-3207 Ph: (702) 265-1112 |
NPI Number | 1013497452 |
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Provider Enumeration Date | 08/15/2018 |
Last Update Date | 10/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013497452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106S00000X | Behavior Technician | (Nevada) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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