Organization
SOLOMON'S PORCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE ENOCHS (BASIC SKILLS TRAINER)
(775) 224-9144
Entity
Organization
Contact information
Practice address
40 E CENTER ST, STE 12, FALLON, NV 89406-3475
(775) 867-5615
Mailing address
40 E CENTER ST STE 12, FALLON, NV 89406-3474
(775) 867-5615
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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