| Malayla Inc | |
|
895 Roberta Ln Suite 101 Sparks NV 89431-6802 | |
| (775) 331-6252 | |
| (775) 331-6250 |
| Full Name | Malayla Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 895 Roberta Ln, Sparks, Nevada |
| Authorized Official Name and Position | Candia Tolbert (ADMINISTRATOR/OWNER) |
| Authorized Official Contact | 7753316252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malayla Inc 895 Roberta Ln Suite 101 Sparks NV 89431-6802 Ph: (775) 331-6252 | Malayla Inc 895 Roberta Ln Suite 101 Sparks NV 89431-6802 Ph: (775) 331-6252 |
| NPI Number | 1326331992 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326331992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | NV20101069786 (Nevada) | Primary |
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