St. Jude's Ranch for Children
NPI #1043377708 in Boulder City, Nevada
Provider Information
- NPI Number
- 1043377708
- Entity Type
- Organization
- Organization Name
- St. Jude's Ranch for Children
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 100 SAINT JUDES ST
- City
- Boulder City
- State
- Nevada
- ZIP Code
- 89005-1614
- Phone
- (702) 294-7101
Authorized Official
- Name
- MR. ROLAND CHARLES GANT JR.
- Title
- RESIDENTIAL COORDINATOR
- Phone
- (702) 294-7101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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