Provider Demographics
NPI:1699474353
Name:DESERT SAGE RESOURCE CENTER
Entity type:Organization
Organization Name:DESERT SAGE RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAUL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-229-5654
Mailing Address - Street 1:6490 S MCCARRAN BLVD STE 18
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6165
Mailing Address - Country:US
Mailing Address - Phone:775-562-4509
Mailing Address - Fax:775-800-7033
Practice Address - Street 1:6490 S MCCARRAN BLVD STE B18
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6121
Practice Address - Country:US
Practice Address - Phone:775-562-4509
Practice Address - Fax:775-800-7033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health