Organization
AMBER SKIES COMMUNITY SUPPORT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CABALLERO (PRESIDENT)
(775) 303-0152
Entity
Organization
Contact information
Practice address
5466 SPANISH MOSS DR, SPARKS, NV 89436-2660
(775) 232-3446
Mailing address
5466 SPANISH MOSS DR, SPARKS, NV 89436-2660
(775) 232-3446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20041414544
NV
Other
Enumeration date
01/30/2011
Last updated
08/04/2011
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