Organization · Type 2 NPI

St. Jude's Ranch for Children

Community/Behavioral Health Agency · Boulder City, NV

NPI number 1790089209 Active

Practice location

100 Saint Judes St
Boulder City, NV 89005-1614

Fax (702) 294-7171

Mailing address

PO Box 60100
Boulder City, NV 89006-0100

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1790089209

St. Jude's Ranch for Children's National Provider Identifier is 1790089209, issued on Dec 28, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Boulder City, NV. The record was last updated on Aug 1, 2014.