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NPI Code Detail

MEDICARE: RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS, INC.

MEDICARE: RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1003391467
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS, INC.
Provider Business Mailing Address
First Line : 2560 BUSINESS PKWY STE B
Second Line :
City : MINDEN
State : NV
Zip : 89423-8961
Country : US
Telephone Number : 775-392-2657
Fax Number :
Provider Business Practice Location Address
First Line : 1691 GRAMERCY AVE
Second Line :
City : TORRANCE
State : CA
Zip : 90501-3236
Country : US
Telephone Number : 310-320-0195
Fax Number :
Authorized Official
Title or Position : MANAGING BUSINESS DIRECTOR
Name : RUSTY E. ALEXANDER
Credential :
Telephone Number : 775-392-2639
Provider Enumeration Date : 10/01/2018
Last Update Date : 08/04/2021

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Directions to “RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS, INC. ” Practice Location

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