State of Nevada
NPI #1972684355 in Gardnerville, Nevada
Provider Information
- NPI Number
- 1972684355
- Entity Type
- Organization
- Organization Name
- State of Nevada
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Nov 14, 2022
Practice Location
- Address
- 1538 HWY 395 N
- Address 2
- STE 100
- City
- Gardnerville
- State
- Nevada
- ZIP Code
- 89410-5265
- Phone
- (775) 687-2160
Authorized Official
- Name
- ELLE RICHARDSON-ADAMS
- Title
- AGENCY MANAGER
- Phone
- (702) 486-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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