Organization
STATE OF NEVADA
Active
Other names
MHDS RURAL REGIONAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA BENNETT PH. D. (DIRECTOR)
(775) 687-5162
Entity
Organization
Contact information
Practice address
1665 OLD HOT SPRINGS RD STE 157, CARSON CITY, NV 89706-0663
(775) 687-5162
(775) 687-5745
Mailing address
1665 OLD HOT SPRINGS RD STE 157, CARSON CITY, NV 89706-0663
(775) 687-5162
(775) 687-5745
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005413091
—
NV
05
—
03813092
—
NV
05
—
03813096
—
NV
Enumeration date
12/20/2006
Last updated
06/16/2008
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