NPI 1437595568

White Pine Boys Ranch, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Ely, NV

Practice location

Address: Hc 34 Box 34165, Ely, NV 89301-9206
Phone: (775) 238-5100
Fax: (775) 238-5103

Authorised official

Name: Lawrence Alan Bradley
Title: Executive Director
Phone: (775) 238-5100

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1389-13 (NV)

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

Children's Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 3245S0500X Licence 1389-13 (NV)

Other Substance Abuse Rehabilitation Facility providers in Nevada →

Registry record

NPI: 1437595568
Entity type: Organization
NPI issued: 15 May 2013
Record last updated: 15 May 2013

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.