CARSON CITY COMMUNITY COUNSELING CENTER NPI 1437596426

NPI Information

CARSON CITY COMMUNITY COUNSELING CENTER is a substance abuse rehabilitation facility in Carson City, NV. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CARSON CITY COMMUNITY COUNSELING CENTER NPI is 1437596426. The provider is registered as an organization entity type.

The provider's business location address is:

900 E LONG ST
CARSON CITY, NV
ZIP 89706-129
Phone: (775) 841-3223

The provider's authorized official is Mary K Bryan .
The authorized official title is Administrator and has the following contact phone number (775) 882-3945.

The CLIA number assigned to this NPI record is 29D2162989 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2013 and was last updated on 5/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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