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James Erich Baine
Emotionally Disturbed Childrens' Residential Treatment Facility in Ely, Nevada
NPI 1114364783

James Erich Baine is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Ely, NV. James Erich Baine practices in Ely, NV. The NPI Number for James Erich Baine is 1114364783 and holds a License No. 1389-13 (Nevada).

The current practice location address for James Erich Baine is Hc 34 Box 34165, Ely, NV and can be reached out via phone at 775-238-5100 and via fax at 775-238-5103.

Location: Hc 34 Box 34165, Ely, NV, 89301-9206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114364783
Provider Name
James Erich Baine
Credential
Provider Entity Type
Individual
Gender
Male
Address
Hc 34 Box 34165, Ely, NV, 89301-9206
Phone Number
775-238-5100
Fax Number
775-238-5103
Provider Enumeration Date
05/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Hc 34 Box 34165
City
Ely
State
Nevada
Zip
89301-9206
Phone Number
775-238-5100
Fax Number
775-238-5103
person
Provider Business Mailing Address Details
Address
Hc 34 Box 34165
City
Ely
State
Nevada
Zip
89301-9206
Phone Number
775-238-5100
Fax Number
775-238-5103
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
1389-13 (Nevada)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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