Organization · Type 2 NPI

Rite of Passage Adolescent Treatment Centers and Schools Inc.

Adolescent and Children Mental Health Clinic/Center · San Andreas, CA

NPI number 1376003277 Active

Practice location

10400 Fricot City Rd
San Andreas, CA 95249-9642

Call (209) 736-4500 Map

Mailing address

2560 Business Pkwy Ste B
Minden, NV 89423-8961

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

14 other providers at this address

Other adolescent and children mental health clinic/center providers in San Andreas

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NPI record

NPI: 1376003277
Entity type: Organization (Type 2)
Issued: Mar 25, 2019
Last updated: Mar 25, 2019
Status: Active
Subpart: Yes of Rite of Passage Athletic Training Centers & Schools, Inc.

Other names

Sierra Ridge Academy · doing business as

Authorized official

Rusty E. Alexander
Business Managing Director
(775) 392-2639

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376003277

Rite of Passage Adolescent Treatment Centers and Schools Inc.'s National Provider Identifier is 1376003277, issued on Mar 25, 2019. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in San Andreas, CA. The record was last updated on Mar 25, 2019.