State of Nevada - Dv Mh Ds Sierra Dev Center

NPI #1962573931 in Sparks, Nevada

Provider Information

NPI Number: 1962573931
Entity Type: Organization
Organization Name: State of Nevada - Dv Mh Ds Sierra Dev Center
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 13, 2006
Last Updated: Jun 19, 2008

Practice Location

Address: 605 S 21ST ST
City: Sparks
State: Nevada
ZIP Code: 89431-8100
Phone: (775) 688-1930

Authorized Official

Name: MS. JANE GRUNER
Title: ACTING DIRECTOR
Phone: (775) 688-1930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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