Organization · Type 2 NPI

State of Nevada

Emotionally Disturbed Childrens' Residential Treatment Facility · Reno, NV

NPI number 1811064272 Active

Practice location

2655 Enterprise Rd
Reno, NV 89512-1666

Fax (775) 688-1616

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

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.

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NPI record

NPI: 1811064272
Entity type: Organization (Type 2)
Issued: Nov 29, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

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State of Nevada, Dhhs, Division of Child and Family Services · doing business as

Authorized official

Mr. Marty Carraher
Administrative Services Officer
(775) 688-1658

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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 1811064272

State of Nevada's National Provider Identifier is 1811064272, issued on Nov 29, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Reno, NV. The record was last updated on Aug 22, 2020.