State of Nevada

NPI #1316574064 in Reno, Nevada

Provider Information

NPI Number
1316574064
Entity Type
Organization
Organization Name
State of Nevada
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF NEVADA
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Mar 24, 2020
Last Updated
Sep 20, 2023

Practice Location

Address
2655 ENTERPRISE RD
City
Reno
State
Nevada
ZIP Code
89512-1666
Phone
(775) 688-1600

Authorized Official

Name
SANDRA STONE
Title
MANAGEMENT ANALYST 3
Phone
(702) 486-8226

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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Provider Name
Crc Ed Treatment LLC

Part of Crc Ed Treatment LLC

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