Organization
RISING STAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY HODGES (OWNER/OPERATOR)
(775) 688-9360
Entity
Organization
Contact information
Practice address
975 LOCOMOTIVE WAY, SPARKS, NV 89434-5806
(775) 688-9360
Mailing address
975 LOCOMOTIVE WAY, SPARKS, NV 89434-5806
(775) 688-9360
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NV20151493769
NV
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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