NPI 1669910394

Sage Brush Behaviroal Health LLC

Organisation Mental Illness Community Based Residential Treatment Facility Sparks, NV

Practice location

Address: 2780 Sunny Slope Dr, Sparks, NV 89434-2679
Phone: (775) 354-5567

Authorised official

Name: Jacqueline de La Cruz
Title: Owner
Phone: (775) 354-5567

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Registry record

NPI: 1669910394
Entity type: Organization
NPI issued: 1 Feb 2017
Record last updated: 1 Feb 2017

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.