Vitality for Life
NPI #1962779850 in Gardnerville, Nevada
Provider Information
- NPI Number
- 1962779850
- Entity Type
- Organization
- Organization Name
- Vitality for Life
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CARSON VALLEY MEDICAL CENTER
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Nov 21, 2011
- Last Updated
- Nov 21, 2011
Practice Location
- Address
- 1107 US HIGHWAY 395 N
- City
- Gardnerville
- State
- Nevada
- ZIP Code
- 89410-5304
- Phone
- (775) 782-1599
Authorized Official
- Name
- MR. WILLIAM HALE
- Title
- CEO
- Phone
- (775) 782-1586
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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