NPI 1548719255

Adolescent Treatment Center

Organisation Mental Illness Community Based Residential Treatment Facility Sparks, NV

Practice location

Address: 480 Galetti Way, Sparks, NV 89431
Phone: (775) 688-1663
Mailing address: 480 Galletti Way, Sparks, NV 89431-5564

Authorised official

Name: Jessica Teresa Villone-Rembert
Title: Mental Health Technician
Phone: (775) 688-1663

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 4415 (NV)

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

Registry record

NPI: 1548719255
Entity type: Organization
NPI issued: 23 Sep 2016
Record last updated: 23 Sep 2016

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.