Provider Demographics
NPI:1356840631
Name:KRAMER - U, LLC
Entity Type:Organization
Organization Name:KRAMER - U, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:RIFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-722-5621
Mailing Address - Street 1:845 PERUMEAN LN
Mailing Address - Street 2:
Mailing Address - City:YERINGTON
Mailing Address - State:NV
Mailing Address - Zip Code:89447-2361
Mailing Address - Country:US
Mailing Address - Phone:775-722-5621
Mailing Address - Fax:775-463-4032
Practice Address - Street 1:701 E BRIDGER AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-5557
Practice Address - Country:US
Practice Address - Phone:702-580-4196
Practice Address - Fax:702-924-4423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20171758514101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty