# BOYS & GIRLS CLUB OF MASON VALLEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730825746
- **Authorized official:** CHRISTINA HURT (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (775) 463-2334

## Contact information

- **Practice address:** 124 N MAIN ST, YERINGTON, NV 89447-2233
- **Practice address phone:** (775) 463-2334
- **Mailing address:** 124 N MAIN ST, YERINGTON, NV 89447-2233
- **Mailing address phone:** (775) 463-2334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 05/11/2022