Individual provider · Type 1 NPI

Carol Ellen Harrison, R.N.

Emotionally Disturbed Childrens' Residential Treatment Facility · Minden, NV

NPI number 1174766612 Active

Practice location

1700 Buckthorn Ct
Minden, NV 89423-4127

Mailing address

PO Box 1427
Minden, NV 89423-1427

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XRN10911 (NV)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

About NPI 1174766612

Carol Ellen Harrison, R.N.'s National Provider Identifier is 1174766612, issued on Apr 14, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Minden, NV. The record was last updated on Apr 14, 2009.