Organization
LIFETIME ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIELL OLIVIA DIX QMHA (PROGRAM DIRECTOR)
(775) 386-4784
Entity
Organization
Contact information
Practice address
1877 EL RANCHO DR APT 22, SPARKS, NV 89431-1080
(775) 386-4784
Mailing address
550 N MCCARRAN BLVD # 402, SPARKS, NV 89431-5278
(775) 386-4784
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NV20151459312
NV
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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