State of Nevada

NPI #1760572010 in Ely, Nevada

Provider Information

NPI Number: 1760572010
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 14, 2006
Last Updated: Nov 10, 2022

Practice Location

Address: 1675 AVENUE F
City: Ely
State: Nevada
ZIP Code: 89301-3500
Phone: (775) 289-1671

Authorized Official

Name: ELLEN RICHARDSON-ADAMS
Title: AGENCY MANAGER
Phone: (702) 486-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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