NPI 1043377708

St. Jude's Ranch for Children

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Boulder City, NV

Practice location

Address: 100 Saint Judes St, Boulder City, NV 89005-1614
Phone: (702) 294-7101
Fax: (702) 294-7191
Mailing address: PO Box 60100, Boulder City, NV 89006-0100

Authorised official

Name: Roland Charles Gant
Title: Residential Coordinator
Phone: (702) 294-7101

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence C3701994 (NV)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Nevada →

Registry record

NPI: 1043377708
Entity type: Organization
NPI issued: 2 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.