Organization
RITE OF PASSAGE INC
Active
Parent organization
RITE OF PASSAGE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RITE OF PASSAGE, INC
Authorized official
RUSTY E. ALEXANDER (BUSINESS MANAGING DIRECTOR)
(775) 392-2639
Entity
Organization
Contact information
Practice address
3304 E I 80 SERVICE RD, CHEYENNE, WY 82009-8781
(307) 829-7355
Mailing address
2560 BUSINESS PKWY STE A, MINDEN, NV 89423-8961
(775) 392-2657
(775) 392-2455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
09/19/2018
Last updated
08/22/2023
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