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Organization

KW LEGACY RANCH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUKE HATCH LCSW (EXECUTIVE DIRECTOR)
(775) 725-3900
Entity
Organization

Contact information

Practice address
1760 SR 318, HIKO, NV 89017-2215
(775) 725-3900
Mailing address
HC 61 BOX 87, HIKO, NV 89017-9635
(775) 725-3900
(775) 725-3925

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
NV

Other

Enumeration date
06/21/2014
Last updated
06/21/2014
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