Organization
ST. JUDE'S RANCH FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE BELLEROSE (OFFICE MANAGER)
(603) 381-2229
Entity
Organization
Contact information
Practice address
200 WILSON CIR, BOULDER CITY, NV 89005-4401
(702) 294-7100
Mailing address
200 WILSON CIR, BOULDER CITY, NV 89005-4401
(702) 294-7100
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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