| Nova Behavioral Services | |
|
4860 Vista Blvd Suite 200 Sparks NV 89436-2863 | |
| (866) 832-3015 | |
| (775) 737-4332 |
| Full Name | Nova Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4860 Vista Blvd, Sparks, Nevada |
| Authorized Official Name and Position | Mathias X Cone (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 18668323015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Behavioral Services Po Box 51354 Sparks NV 89435-1354 Ph: (866) 832-3015 | Nova Behavioral Services 4860 Vista Blvd Suite 200 Sparks NV 89436-2863 Ph: (866) 832-3015 |
| NPI Number | 1790036309 |
|---|---|
| Provider Enumeration Date | 09/21/2012 |
| Last Update Date | 09/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790036309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20101103448 (Nevada) | Primary |
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