Organization
STATE OF NEVADA
Active
Other names
Northern Nevada Adult Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH O'BRIEN (ASO)
(775) 688-2001
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2004
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
(775) 688-2004
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
652
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001316864
—
NV
01
—
CG8771
MEDICARE RR PTAN
NV
Enumeration date
02/05/2008
Last updated
08/03/2010
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