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
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1013538750
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	:	775-392-2455

Provider Business Practice Location Address
First Line	:	800 E CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-1512
Country	:	US
Telephone Number	:	702-463-6929
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGING DIRECTOR
Name	:	RUSTY E. ALEXANDER
Credential	:
Telephone Number	:	775-392-2639

Provider Enumeration Date	:	05/05/2020
Last Update Date	:	07/23/2025

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