Childandfamilyservices

NPI #1740580612 in Sparks, Nevada

Provider Information

NPI Number
1740580612
Entity Type
Organization
Organization Name
Childandfamilyservices
Subpart
Yes (part of a larger organization)
Parent Organization
CHILDERN BEHAVIORAL SERVICES
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Oct 26, 2010
Last Updated
Oct 26, 2010

Practice Location

Address
480 GALLETTI WAY
City
Sparks
State
Nevada
ZIP Code
89431-5564
Phone
(775) 688-1633

Authorized Official

Name
MR. RYAN GUSTAFSON, MA
Title
PROGRAM MANGER
Phone
(775) 688-1633

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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