Organization
HERMITAGE RANCH BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY D BOURNE (EXECUTIVE MANAGER)
(702) 515-4010
Entity
Organization
Contact information
Practice address
25772 HERMITAGE RD, PIOCHE, NV 89043-2597
(702) 499-7755
(888) 959-8990
Mailing address
7495 W AZURE DR, SUITE 120, LAS VEGAS, NV 89130-4416
(702) 515-4010
(888) 959-8990
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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