IndividualActive
James Baine
NPI 1114364783 · Emotionally Disturbed Childrens' Residential Treatment Facility · Ely, NV
Provider details
- NPI number
- 1114364783
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1389-13 (NV)
Practice location
Hc 34 Box 34165
Ely, NV 89301-9206
Phone: (775) 238-5100
Fax: (775) 238-5103
Mailing address
Hc 34 Box 34165
Ely, NV 89301-9206
Registry dates
- Enumerated
- 2013-05-23
- Last updated
- 2013-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.