Provider Demographics
NPI:1336716901
Name:GOLDEN TOUCH BEHAVIORAL CARE CENTER PROF CORP
Entity type:Organization
Organization Name:GOLDEN TOUCH BEHAVIORAL CARE CENTER PROF CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CADC-I
Authorized Official - Phone:725-286-9202
Mailing Address - Street 1:2225 E FLAMINGO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5126
Mailing Address - Country:US
Mailing Address - Phone:702-493-8733
Mailing Address - Fax:702-903-4499
Practice Address - Street 1:2225 E FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5126
Practice Address - Country:US
Practice Address - Phone:702-493-8733
Practice Address - Fax:702-903-4499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1972117091Medicaid
NV250019580Medicaid