NPI 1417273699

Nova Behavioral Services, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Sparks, NV

Practice location

Address: 4860 Vista Blvd Suite 200, Sparks, NV 89436-2863
Phone: (186) 683-2301
Mailing address: PO Box 51354, Sparks, NV 89435

Authorised official

Name: Kevin Cummings
Title: Chief Executive Officer
Phone: (775) 276-3744

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence NV20101103448 (NV)

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

Registry record

NPI: 1417273699
Entity type: Organization
NPI issued: 14 Apr 2010
Record last updated: 28 Aug 2012

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.