Organization
RITE OF PASSAGE INC
Active
Parent organization
RITE OF PASSAGE INC
Other names
Meadowlark
Organization subpart
Yes
Provider details
NPI number
Legal business name
RITE OF PASSAGE INC
Authorized official
MR. RUSTY E. ALEXANDER (BUSINESS MANAGING DIRECTOR)
(775) 392-2639
Entity
Organization
Contact information
Practice address
3304 E I 80 SERVICE RD, CHEYENNE, WY 82009-8781
(307) 829-7355
Mailing address
2560 BUSINESS PKWY STE A, MINDEN, NV 89423-8961
(775) 392-2657
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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