Most Relevant Information
Provider Data
| NPI Number: | 1003055799 |
| Provider Name: | NICK B STEVENS AA |
| Entity Type: | Individual |
| Taxonomy Code: | 320800000X |
| Specialty: | Community Based Residential Treatment Facility, Mental Illness |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2009 |
| Last Updated: | 02/19/2009 |
Provider Practice Location
741 RANCHO VIA DR
SPARKS
NV
894344051
Practice Location Phone/Fax
| Phone: | 7752239040 |
| Fax: |
Provider Mailing Location
6283 CHESTERFIELD LN
RENO
NV
895231726
Provider Mailing Phone/Fax
| Phone: | 7752239040 |
| Fax: |