NPI 1811064272
State of Nevada
Practice location
- Address
- 2655 Enterprise Rd, Reno, NV 89512-1666
- Phone
- (775) 688-1600
- Fax
- (775) 688-1616
Authorised official
- Name
- Marty Carraher
- Title
- Administrative Services Officer
- Phone
- (775) 688-1658
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1811064272
- Entity type
- Organization
- NPI issued
- 29 Nov 2006
- Record last updated
- 22 Aug 2020
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.