Organization
STATE OF NEVADA
Active
Other names
HAWTHORNE MENTAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SIRI MCMILLIN (BILLING SUPERVISOR)
(775) 687-7573
Entity
Organization
Contact information
Practice address
1000 C STREET, HAWTHORNE, NV 89415
(775) 945-3387
(775) 945-2307
Mailing address
4126 TECHNOLOGY WAY, SUITE 102, CARSON CITY, NV 89706-2066
(775) 687-7573
(775) 687-7544
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NA
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005411001
—
NV
Enumeration date
02/11/2009
Last updated
02/11/2009
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