Healthcare Provider Details

I. General information

NPI: 1710683701
Provider Name (Legal Business Name): RITE OF PASSAGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2023
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 BONHAM RD
CINCINNATI OH
45215-2054
US

IV. Provider business mailing address

2560 BUSINESS PKWY STE A
MINDEN NV
89423-8961
US

V. Phone/Fax

Practice location:
  • Phone: 513-552-1200
  • Fax:
Mailing address:
  • Phone: 775-392-2657
  • 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: NANCEY CARTER
Title or Position: BEHAVIORAL HEALTH COMPLIANCE DIR
Credential:
Phone: 480-987-2053