St. Jude's Ranch for Children
NPI #1790089209 in Boulder City, Nevada
Provider Information
- NPI Number
- 1790089209
- Entity Type
- Organization
- Organization Name
- St. Jude's Ranch for Children
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 28, 2010
- Last Updated
- Aug 1, 2014
Practice Location
- Address
- 100 SAINT JUDES ST
- City
- Boulder City
- State
- Nevada
- ZIP Code
- 89005-1614
- Phone
- (702) 294-7100
Authorized Official
- Name
- MRS. HANNAH L WARE, LMFT
- Title
- CLINICAL DIRECTOR
- Phone
- (702) 294-7135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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