Healthcare Provider Details

I. General information

NPI: 1437217916
Provider Name (Legal Business Name): KIDS FIRST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 CABOOSE CT
SPARKS NV
89434-5812
US

IV. Provider business mailing address

1091 CABOOSE CT
SPARKS NV
89434-5812
US

V. Phone/Fax

Practice location:
  • Phone: 775-331-1527
  • Fax:
Mailing address:
  • Phone: 775-331-1527
  • Fax:

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: MR. ROCH M SPALKA
Title or Position: MANAGER
Credential:
Phone: 775-331-1527