Douglas Co and Unincorporated Towns
Organization Active NPI Psychiatric Residential Treatment Facility · Gardnerville, NV
NPI 1306338215 · NPPES record last updated Jun 6, 2018
Key facts
- NPI
- 1306338215
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- License
- 8954-PRTF-0 (NV)
- Legal business name
- DOUGLAS CO AND UNINCORPORATED TOWNS
- Practice address
- 225 China Spring Rd
Gardnerville, NV 89410 - Phone
- (775) 265-5350
- NPI assigned
- Jun 6, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- DOUGLAS CO AND UNINCORPORATED TOWNS
Authorized official
- Name
- Mrs. Wendy Colleen Garrison
- Title
- Director of Juvenile Camp Services
- Phone
- (775) 265-5350
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 2
Practitioners 1
National Provider Directory
- Tax ID family
- Douglas Co Unincorpor
- Part of
- Douglas Co Unincorpor
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 8954-PRTF-0 | NV | Yes |
Addresses
Primary practice location
225 China Spring Rd
Gardnerville, NV 89410
Mailing address
PO Box 218
Minden, NV 89423-0218
Phone (775) 265-5350
Other names
- China Spring Youth Camp
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All providers in Gardnerville, NV · Psychiatric Residential Treatment Facility in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.