NPI 1356719801

Above & Beyond

Organisation Mental Illness Community Based Residential Treatment Facility Sparks, NV

Practice location

Address: 1877 El Rancho Dr APT 171, Sparks, NV 89431-8529
Phone: (775) 379-8918

Authorised official

Name: Latonda Baker
Title: Owner/Operator
Phone: (775) 420-5396

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence NV20151498678 (NV)

Other Community Based Residential Treatment Facility, Mental Illness providers in Nevada →

Registry record

NPI: 1356719801
Entity type: Organization
NPI issued: 14 Sep 2015
Record last updated: 14 Sep 2015

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.