Desert State Day Treatment Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20161177555 Issued in NV

Legal business name

DESERT STATE DAY TREATMENT CENTER LLC

Practice address

6396 McLeod Dr Ste 6
Las Vegas, NV 89120-4429

Phone

(702) 556-8102

NPI assigned

May 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Imani Butler

Title

Owner

Phone

(702) 556-8102

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1922453448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11389 OGDEN MILLS DR UNIT 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353324",
            "telephone_number": "702-556-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 MCLEOD DR STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204429",
            "telephone_number": "702-556-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT STATE DAY TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "IMANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-556-8102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161177555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.