Carson Valley Youth Camp | |
2869 Esaw St Minden NV 89423-9059 | |
(775) 267-1775 | |
(775) 267-1775 |
Full Name | Carson Valley Youth Camp |
---|---|
Speciality | Counselor - Mental Health |
Location | 2869 Esaw St, Minden, Nevada |
Authorized Official Name and Position | James Hilton Jackson (OWNER/OPERATOR) |
Authorized Official Contact | 7752467748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carson Valley Youth Camp 511 Yellow Jacket Rd Dayton NV 89403-8081 Ph: (775) 246-7748 | Carson Valley Youth Camp 2869 Esaw St Minden NV 89423-9059 Ph: (775) 267-1775 |
NPI Number | 1366543928 |
---|---|
Provider Enumeration Date | 09/26/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366543928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
News Archive
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