Full Name | Golla Home |
---|---|
Speciality | Community/behavioral Health |
Location | 670 Washoe Dr, Carson City, Nevada |
Authorized Official Name and Position | Jean Golla (MH TREATMENT HOME PROVIDER) |
Authorized Official Contact | 7758493165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Golla Home 670 Washoe Dr Carson City NV 89704-9528 Ph: (775) 849-3165 | Golla Home 670 Washoe Dr Carson City NV 89704-9528 Ph: (775) 849-3165 |
NPI Number | 1992875157 |
---|---|
Provider Enumeration Date | 11/08/2006 |
Last Update Date | 06/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992875157 | NPI | - | NPPES |
100508067 | Medicaid | NV | |
006116513 | Medicaid | NV | |
100508066 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
News Archive
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