State of Nevada

NPI #1043300395 in Dayton, Nevada

Provider Information

NPI Number: 1043300395
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 14, 2006
Last Updated: Sep 26, 2007

Practice Location

Address: 120 PIKE ST
City: Dayton
State: Nevada
ZIP Code: 89403-6758
Phone: (775) 246-5240

Authorized Official

Name: MR. RAY C KENDALL, LCSW
Title: AGENCY DIRECTOR
Phone: (775) 687-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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