NPI 1366812729

Lifetime Assistance

Organisation Mental Illness Community Based Residential Treatment Facility Sparks, NV

Practice location

Address: 1877 El Rancho Dr APT 22, Sparks, NV 89431-1080
Phone: (775) 386-4784
Mailing address: 550 N McCarran Blvd # 402, Sparks, NV 89431-5278

Authorised official

Name: Ariell Olivia Dix
Title: Program Director
Phone: (775) 386-4784

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence NV20151459312 (NV)

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

Registry record

NPI: 1366812729
Entity type: Organization
NPI issued: 29 Sep 2015
Record last updated: 29 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.