NPI 1659448017

State of Nevada

Organisation Psychiatric Residential Treatment Facility Sparks, NV

Practice location

Address: 480 Galletti Way, Sparks, NV 89431-5564
Phone: (775) 688-1633
Mailing address: 2655 Enterprise Rd, Reno, NV 89512-1666

Authorised official

Name: Marty Carraher
Title: Administrative Services Officer
Phone: (775) 688-1658

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Nevada →

Registry record

NPI: 1659448017
Entity type: Organization
NPI issued: 29 Nov 2006
Record last updated: 16 Jul 2009

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.