Organization
NFW FRONTIER TREATMENT
Active
Other names
Churchill Council on Alcohol and Other Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
LANA E HENDERSON (EXECUTIVE DIRECTOR)
(775) 423-1412
Entity
Organization
Contact information
Practice address
165 N CARSON ST, FALLON, NV 89406-2919
(775) 423-1412
Mailing address
110 W B ST, FALLON, NV 89406-2913
(775) 423-1412
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
7904
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509916
—
NV
Enumeration date
12/14/2006
Last updated
08/21/2008
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