# CHILDANDFAMILYSERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDERN BEHAVIORAL SERVICES
- **Other names:** adoludit treatment center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740580612
- **Legal business name:** CHILDERN BEHAVIORAL SERVICES
- **Authorized official:** MR. RYAN GUSTAFSON MA (PROGRAM MANGER)
- **Authorized official phone:** (775) 688-1633

## Contact information

- **Practice address:** 480 GALLETTI WAY, SPARKS, NV 89431-5564
- **Practice address phone:** (775) 688-1633
- **Mailing address:** 480GALLETTI WAY BLDG 9, SPARKS, NV 89431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 7777777 | NV | Yes |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 10/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7777777 | — | OH |