OrganizationActive
Above & Beyond
NPI 1356719801 · Mental Illness Community Based Residential Treatment Facility · Sparks, NV
Provider details
- NPI number
- 1356719801
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latonda Baker, Owner/Operator(775) 420-5396
- License
- NV20151498678 (NV)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense NV20151498678 (NV)
Residential Treatment Facilities
Practice location
1877 El Rancho Dr
Apt 171
Sparks, NV 89431-8529
Phone: (775) 379-8918
Approximate (ZIP-level) locationGet directions
Mailing address
1877 El Rancho Dr
Sparks, NV 89431-8529
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2015-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.