MEDICARE: ROBISON HOUSE LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1588933618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBISON HOUSE LLC

Provider Business Mailing Address
First Line	:	835 ROCK BLVD
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89431-4361
Country	:	US
Telephone Number	:	775-355-7722
Fax Number	:	775-355-7116

Provider Business Practice Location Address
First Line	:	835 ROCK BLVD
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89431-4361
Country	:	US
Telephone Number	:	775-355-7722
Fax Number	:	775-355-7116

Authorized Official
Title or Position	:	OWNER
Name	:	MS. DEBORAH J RASMUSSEN
Credential	:	MFT
Telephone Number	:	775-355-7722

Provider Enumeration Date	:	12/19/2011
Last Update Date	:	12/19/2011

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Directions to “ROBISON HOUSE LLC ” Practice Location

Language	Start Address	Practice Location

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