Organization
CHILDANDFAMILYSERVICES
Active
Parent organization
CHILDERN BEHAVIORAL SERVICES
Other names
adoludit treatment center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDERN BEHAVIORAL SERVICES
Authorized official
MR. RYAN GUSTAFSON MA (PROGRAM MANGER)
(775) 688-1633
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-1633
Mailing address
480GALLETTI WAY BLDG 9, SPARKS, NV 89431
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
7777777
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7777777
—
OH
Enumeration date
10/26/2010
Last updated
10/26/2010
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