Individual
JAMES C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 GALLETTI WAY, BUILDING 8C, SPARKS, NV 89431-5564
(775) 324-1541
Mailing address
480 GALLETTI WAY, BUILDING 8C, SPARKS, NV 89431
(775) 324-1541
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
225400000
NV
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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