Organization
STATE OF NEVADA
Active
Organization
STATE OF NEVADA
Active
Other names
Northern Nevada Adult Mental Heath Services
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH O'BRIEN (ASO3)
(775) 688-2001
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
652HOS-21
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002816864
—
NV
Enumeration date
04/24/2012
Last updated
04/24/2012
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