Provider Demographics
NPI:1326686445
Name:NARROW ROAD TREATMENT CENTER LLC
Entity Type:Organization
Organization Name:NARROW ROAD TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:702-612-5661
Mailing Address - Street 1:10116 LEXINGTON PINES AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8725
Mailing Address - Country:US
Mailing Address - Phone:702-612-5661
Mailing Address - Fax:
Practice Address - Street 1:11841 N HIDEOUT RANCH RD
Practice Address - Street 2:
Practice Address - City:PORTAL
Practice Address - State:AZ
Practice Address - Zip Code:85632-7902
Practice Address - Country:US
Practice Address - Phone:520-558-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility