White Pine Boys Ranch | |
6479 West 317 North Lund NV 89317-0235 | |
(702) 430-6206 | |
(801) 763-1852 |
Full Name | White Pine Boys Ranch |
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Speciality | Counselor - Professional |
Location | 6479 West 317 North, Lund, Nevada |
Authorized Official Name and Position | Christy P Kane (DIRECTOR) |
Authorized Official Contact | 8017355971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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White Pine Boys Ranch Po Box 235 Lund NV 89317-0235 Ph: (702) 430-6206 | White Pine Boys Ranch 6479 West 317 North Lund NV 89317-0235 Ph: (702) 430-6206 |
NPI Number | 1366694713 |
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Provider Enumeration Date | 10/16/2008 |
Last Update Date | 10/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366694713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4790345-6004 (Utah) | Primary |
Daybreak Equestrian Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Sunny Side Lane, Lund, NV 89317 Phone: 702-430-6206 Fax: 775-549-8800 |