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State of Nevada

NPI #1811064272 in Reno, Nevada

Provider Information

NPI Number
1811064272
Entity Type
Organization
Organization Name
State of Nevada
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Nov 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2655 ENTERPRISE RD
City
Reno
State
Nevada
ZIP Code
89512-1666
Phone
(775) 688-1600

Authorized Official

Name
MR. MARTY CARRAHER
Title
ADMINISTRATIVE SERVICES OFFICER
Phone
(775) 688-1658

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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