State of Nevada - Prtf North

NPI #1417582230 in Sparks, Nevada

Provider Information

NPI Number
1417582230
Entity Type
Organization
Organization Name
State of Nevada - Prtf North
Subpart
Yes (part of a larger organization)
Parent Organization
SATE OF NEVADA
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Mar 12, 2020
Last Updated
Feb 13, 2025

Practice Location

Address
480 GALLETTI WAY BLDG 8N
City
Sparks
State
Nevada
ZIP Code
89431
Phone
(775) 688-1633

Authorized Official

Name
SANDRA STONE
Title
MANAGEMENT ANALYST 4
Phone
(702) 486-8226

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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Provider Name
Omkaar LLC

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