State of Nevada
NPI #1659448017 in Sparks, Nevada
Provider Information
- NPI Number
- 1659448017
- Entity Type
- Organization
- Organization Name
- State of Nevada
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jul 16, 2009
Practice Location
Authorized Official
- Name
- MR. MARTY CARRAHER
- Title
- ADMINISTRATIVE SERVICES OFFICER
- Phone
- (775) 688-1658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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