Individual
ERICA CHRISTINE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E GAULT WAY, SPARKS, NV 89431-2482
(775) 432-1035
(775) 384-6685
Mailing address
515 E GAULT WAY, SPARKS, NV 89431-2482
(775) 432-1035
(775) 384-6685
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511515
—
NV
Enumeration date
02/12/2011
Last updated
07/21/2022
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