Organization
STATE OF NEVADA
Active
Other names
State of Nevada, DHHS, Division of Child and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTY CARRAHER (ADMINISTRATIVE SERVICES OFFICER)
(775) 688-1658
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-1633
Mailing address
2655 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-1600
(775) 688-1616
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507984
—
NV
Enumeration date
11/29/2006
Last updated
07/16/2009
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