Organization
ABOVE & BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATONDA BAKER (OWNER/OPERATOR)
(775) 420-5396
Entity
Organization
Contact information
Practice address
1877 EL RANCHO DR, APT 171, SPARKS, NV 89431-8529
(775) 379-8918
Mailing address
1877 EL RANCHO DR, APT 171, SPARKS, NV 89431-8529
(775) 379-8918
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NV20151498678
NV
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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