Provider Demographics
NPI:1578739157
Name:HAND UP HOMES FOR YOUTH NEVADA
Entity Type:Organization
Organization Name:HAND UP HOMES FOR YOUTH NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF ADMIN SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-318-0311
Mailing Address - Street 1:2525 16TH ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3959
Mailing Address - Country:US
Mailing Address - Phone:303-318-0311
Mailing Address - Fax:303-318-0288
Practice Address - Street 1:2725 YORI AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4325
Practice Address - Country:US
Practice Address - Phone:775-329-0312
Practice Address - Fax:775-329-0946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children