| Ruby Vista Therapy Llc | |
|
401 Railroad St Ste 406 Elko NV 89801-3727 | |
| (775) 389-2700 | |
| Not Available |
| Full Name | Ruby Vista Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 Railroad St Ste 406, Elko, Nevada |
| Authorized Official Name and Position | Stacey Koch (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7753892700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Vista Therapy Llc Po Box 2222 Elko NV 89803-2222 Ph: () - | Ruby Vista Therapy Llc 401 Railroad St Ste 406 Elko NV 89801-3727 Ph: (775) 389-2700 |
| NPI Number | 1265066773 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265066773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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