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Organization

NO. NV ADLT MNTL HLTH SVCS

Active
Parent organization
STATE OF NEVADA
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF NEVADA
Authorized official
ELIZABETH A O'BRIEN (BUSINESS MANAGER)
(775) 688-2001
Entity
Organization

Contact information

Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2192
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2192

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
IA00246
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IA00246
PHARMACY
NV
Enumeration date
07/16/2007
Last updated
03/07/2023
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