NPI: 1689800013
Provider Name: DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH
Former Legal Business Name: NEVADA SKIES YOUTH WELLNESS CENTER
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 29D1101053
Address:
104 BIG BEND RANCH ROAD
WADSWORTH, NV
ZIP 89442
Phone: (775) 352-6840
Get Directions
DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH is a substance abuse treatment and children substance abuse rehabilitation facility in Wadsworth, 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. DHHS, IHS, PHOENIX AREA, NEVADA SKIES YOUTH NPI is 1689800013. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Nevada Skies Youth Wellness Center.
The provider's business location address is:
104 BIG BEND RANCH ROAD
WADSWORTH, NV
ZIP 89442
Phone: (775) 352-6840
Fax: (775) 575-3180
The provider's authorized official is Holly M Elliott .
The authorized official title is Chief Executive Officer and has the following contact phone number (520) 562-4205.
The CLIA number assigned to this NPI record is 29D1101053 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/29/2009 and was last updated on 10/31/2012.