Organization
MOUNTAINSHADOW CHALLENGE, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M BALMUT MFT (OWNER DIRECTOR)
(775) 355-1972
Entity
Organization
Contact information
Practice address
2372 WABASH CIR, SPARKS, NV 89434-8840
(775) 762-3548
Mailing address
2372 WABASH CIR, SPARKS, NV 89434-8840
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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