OrganizationState Of Nevada(Southern Nevada Child And Adolescent Services, Sncas Psych)Community/Behavioral HealthAgenciesPractice Address6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126(702) 486-7865(702) 486-8226PECOS EnrollmentBased on the most recent information from CMS, provider State Of Nevada does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1679640023Provider TypeOrganizationFull NameState Of NevadaOther NameSouthern Nevada Child And Adolescent Services, Sncas PsychSubpartNoEnumeration Date11/29/2006Last Updated9/20/2023Contact InformationPractice LocationPractice Address6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126Phone(702) 486-7865FaxUnlisted FaxMailing LocationMailing Address1350 S Jones Blvd Ste 220, Las Vegas, NV 89146-1233Phone(702) 486-8226Fax(702) 486-6057Authorized OfficialNameStone, Sandra (Management Analyst 3)Phone(702) 486-8226Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID005402800DescriptionMedicaidIssuerUnlistedNevada