NPI 1114364783

James Erich Baine

Practitioner 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

Registered specialties

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 →

Registry record

NPI: 1114364783
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2013
Record last updated: 23 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.