Organization
NOVA BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CUMMINGS (CHIEF EXECUTIVE OFFICER)
(775) 276-3744
Entity
Organization
Contact information
Practice address
4860 VISTA BLVD, SUITE 200, SPARKS, NV 89436-2863
(186) 683-2301
Mailing address
PO BOX 51354, SPARKS, NV 89435
(775) 276-3744
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NV20101103448
NV
Other
Enumeration date
04/14/2010
Last updated
08/28/2012
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