| State Of Nevada - Nncas Outpatient | |
|
2655 Enterprise Rd Reno NV 89512-1666 | |
| (775) 688-1600 | |
| (775) 688-1616 |
| Full Name | State Of Nevada - Nncas Outpatient |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2655 Enterprise Rd, Reno, Nevada |
| Authorized Official Name and Position | Sandra Stone (MANAGEMENT ANALYST 4) |
| Authorized Official Contact | 7024868226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Nevada - Nncas Outpatient 500 E Warm Springs Rd Las Vegas NV 89119-4344 Ph: (702) 486-8226 | State Of Nevada - Nncas Outpatient 2655 Enterprise Rd Reno NV 89512-1666 Ph: (775) 688-1600 |
| NPI Number | 1366519720 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366519720 | NPI | - | NPPES |
| 100507986 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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