Organization
SAGE BRUSH BEHAVIROAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DE LA CRUZ (OWNER)
(775) 354-5567
Entity
Organization
Contact information
Practice address
2780 SUNNY SLOPE DR, SPARKS, NV 89434-2679
(775) 354-5567
Mailing address
2780 SUNNY SLOPE DR, SPARKS, NV 89434-2679
(775) 354-5567
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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