Healthcare Provider Details

I. General information

NPI: 1164852877
Provider Name (Legal Business Name): RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2013
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 BUSINESS PKWY STE B
MINDEN NV
89423-8961
US

IV. Provider business mailing address

2560 BUSINESS PKWY STE B
MINDEN NV
89423-8961
US

V. Phone/Fax

Practice location:
  • Phone: 775-392-2657
  • Fax: 775-392-2455
Mailing address:
  • Phone: 775-392-2657
  • Fax: 775-392-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA CRANDELL
Title or Position: LEAD A/R CLERK
Credential:
Phone: 775-392-2657