| Rite Of Passage | |
|
2560 Business Pkwy Ste B Minden NV 89423-8961 | |
| (775) 267-9411 | |
| (775) 267-9409 |
| Full Name | Rite Of Passage |
|---|---|
| Speciality | Rehabilitation Practitioner |
| Location | 2560 Business Pkwy Ste B, Minden, Nevada |
| Authorized Official Name and Position | Rusty E. Alexander (BUSINESS MANAGING DIRECTOR) |
| Authorized Official Contact | 7753922639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rite Of Passage 2560 Business Pkwy Suite B Minden NV 89423-8985 Ph: (775) 267-9411 | Rite Of Passage 2560 Business Pkwy Ste B Minden NV 89423-8961 Ph: (775) 267-9411 |
| NPI Number | 1265721328 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265721328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
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