Organization
CHILD AND ADOLESCENT MENTAL HEALTH PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA J MOCK (BILLING/INSURANCE)
(775) 331-6252
Entity
Organization
Contact information
Practice address
1055 ROBERTA LN, SPARKS, NV 89431-2809
(775) 331-8747
(775) 331-8754
Mailing address
1055 ROBERTA LANE, SPARKS, NV 89431
(775) 331-8747
(775) 331-8754
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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