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Organization

CHURCHILL COUNCIL ON ALCOHOL & OTHER DRUGS

Active
Other names
New Frontier Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
LANA K ROBARDS (EXECUTIVE DIRECTOR)
(775) 423-1412
Entity
Organization

Contact information

Practice address
1490 GRIMES ST, FALLON, NV 89406-3103
(775) 423-1412
(775) 423-4054
Mailing address
PO BOX 1240, FALLON, NV 89407-1240
(775) 423-1412
(775) 423-4054

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
5ADA-12
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100510923
NV
05
100510924
NV
Enumeration date
05/30/2007
Last updated
03/29/2021
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