| State Of Nevada, Dhhs, Division Of Child And Family Services | |
|
480 Galletti Way Sparks NV 89431-5564 | |
| (775) 688-1633 | |
| Not Available |
| Full Name | State Of Nevada, Dhhs, Division Of Child And Family Services |
|---|---|
| Speciality | Clinic/center |
| Location | 480 Galletti Way, Sparks, Nevada |
| Authorized Official Name and Position | Marty Carraher (ADMINISTRATIVE SERVICES OFFICER) |
| Authorized Official Contact | 7756881658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Nevada, Dhhs, Division Of Child And Family Services 2655 Enterprise Rd Reno NV 89512-1666 Ph: (775) 688-1600 | State Of Nevada, Dhhs, Division Of Child And Family Services 480 Galletti Way Sparks NV 89431-5564 Ph: (775) 688-1633 |
| NPI Number | 1609006188 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 07/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609006188 | NPI | - | NPPES |
| 100507986 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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