Provider Demographics
NPI:1851824213
Name:RITE OF PASSAGE, INC
Entity Type:Organization
Organization Name:RITE OF PASSAGE, INC
Other - Org Name:ALAMOSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BEH HEALTH COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:480-987-2053
Mailing Address - Street 1:2560 BUSINESS PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-8985
Mailing Address - Country:US
Mailing Address - Phone:775-392-2657
Mailing Address - Fax:
Practice Address - Street 1:1317 17TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-3555
Practice Address - Country:US
Practice Address - Phone:303-358-4997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children