Organization
RITE OF PASSAGE
Active
Organization
RITE OF PASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES S BROMAN (CEO)
(775) 267-9411
Entity
Organization
Contact information
Practice address
851 SPROTT DRIVE, MONTGOMERY, AL 36117
(334) 676-5272
Mailing address
2560 BUSINESS PKWY STE A, MINDEN, NV 89423-8961
(775) 267-9420
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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