State of Nevada
State of Nevada is a Mental Health Clinic/Center (Including Community Mental Health Center) in Stateline, Nevada. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address may be wrong
175 W US Highway 50Stateline, NV 89779
Phone: (775) 687-3671
Fax: (775) 687-6639
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1992887822 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ray Kendall — Agency Director · (775) 687-7500 |
| Other names | Lake Tahoe Mental Health Center |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | October 10, 2007 |
| Mailing address | 4126 Technology Way, Suite 102, Carson City, NV 89706-2013 |