| Great Basin Therapeutic Services Ltd. | |
|
50 Freeport Blvd Suite 10 Sparks NV 89431-6274 | |
| (775) 622-8280 | |
| Not Available |
| Full Name | Great Basin Therapeutic Services Ltd. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 50 Freeport Blvd, Sparks, Nevada |
| Authorized Official Name and Position | Dale Henson (OWNER) |
| Authorized Official Contact | 7756228280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Basin Therapeutic Services Ltd. 50 Freeport Blvd Suite 10 Sparks NV 89431-6274 Ph: () - | Great Basin Therapeutic Services Ltd. 50 Freeport Blvd Suite 10 Sparks NV 89431-6274 Ph: (775) 622-8280 |
| NPI Number | 1538541537 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 06/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538541537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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