| Vitality Integrated Programs - Ccbhc - Carson City | |
|
680 W Nye Ln Ste And202 Carson City NV 89703-1575 | |
| (775) 738-4158 | |
| (775) 753-6487 |
| Full Name | Vitality Integrated Programs - Ccbhc - Carson City |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 680 W Nye Ln Ste And202, Carson City, Nevada |
| Authorized Official Name and Position | Dorothy J Dexter (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7757384158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Integrated Programs - Ccbhc - Carson City Po Box 2580 Elko NV 89803-2580 Ph: (775) 738-4158 | Vitality Integrated Programs - Ccbhc - Carson City 680 W Nye Ln Ste And202 Carson City NV 89703-1575 Ph: (775) 738-4158 |
| NPI Number | 1629540380 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629540380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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