Organization
ADOLESCENT TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TERESA VILLONE-REMBERT (MENTAL HEALTH TECHNICIAN)
(775) 688-1663
Entity
Organization
Contact information
Practice address
480 GALETTI WAY, SPARKS, NV 89431
(775) 688-1663
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-1663
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
4415
NV
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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