Organization
RITE OF PASSAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKI JAMES BROMAN (PRESIDENT/ CEO)
(775) 267-9411
Entity
Organization
Contact information
Practice address
216 CENTERVIEW DR, SUITE 317, BRENTWOOD, TN 37027-3226
(775) 392-2636
Mailing address
2560 BUSINESS PKWY, SUITE A, MINDEN, NV 89423-8985
(775) 392-2636
(775) 392-2450
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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