| Etxea Community Services | |
|
741 Rancho Villa Drive Sparks NV 89434 | |
| (775) 453-1502 | |
| (775) 453-1502 |
| Full Name | Etxea Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 741 Rancho Villa Drive, Sparks, Nevada |
| Authorized Official Name and Position | Bertrand Itthuralde (EXECUTIVE DIRECTOR, FOUNDER) |
| Authorized Official Contact | 7752473994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etxea Community Services 741 Rancho Villa Drive Sparks NV 89434 Ph: (775) 453-1502 | Etxea Community Services 741 Rancho Villa Drive Sparks NV 89434 Ph: (775) 453-1502 |
| NPI Number | 1700188430 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700188430 | NPI | - | NPPES |
| 1007730358-001 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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