St. Jude's Ranch for Children
NPI #1215528260 in Boulder City, Nevada
Provider Information
- NPI Number
- 1215528260
- Entity Type
- Organization
- Organization Name
- St. Jude's Ranch for Children
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 2, 2021
- Last Updated
- Feb 2, 2021
Practice Location
- Address
- 200 WILSON CIR
- City
- Boulder City
- State
- Nevada
- ZIP Code
- 89005-4401
- Phone
- (702) 294-7100
Authorized Official
- Name
- TINA MARIE BELLEROSE
- Title
- OFFICE MANAGER
- Phone
- (603) 381-2229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
| Community/Behavioral Health |
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