Carson Valley Youth Camp

NPI #1366543928 in Minden, Nevada

Provider Information

NPI Number
1366543928
Entity Type
Organization
Organization Name
Carson Valley Youth Camp
Primary Specialty
Counselor - Mental Health
Enumeration Date
Sep 26, 2006
Last Updated
Jul 21, 2022

Practice Location

Address
2869 ESAW ST
City
Minden
State
Nevada
ZIP Code
89423-9059
Phone
(775) 267-1775

Authorized Official

Name
MR. JAMES HILTON JACKSON, BS-SOCIAL WORK
Title
OWNER/OPERATOR
Phone
(775) 246-7748

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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