Organization · Type 2 NPI
State of Nevada
Mental Health Clinic/Center (Including Community Mental Health Center) · Stateline, NV
NPI number
1992887822
Active
Practice location
175 W US Highway 50
Stateline, NV 89779
Fax (775) 687-6639
Mailing address
4126 Technology Way, Suite 102
Carson City, NV 89706-2013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1992887822
State of Nevada's National Provider Identifier is 1992887822, issued on Oct 19, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Stateline, NV. The record was last updated on Oct 10, 2007.