Provider Demographics
NPI:1861765042
Name:GOING PLACES
Entity type:Organization
Organization Name:GOING PLACES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BART
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDAMME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-323-6222
Mailing Address - Street 1:5365 MAE ANNE AVE STE A10
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1841
Mailing Address - Country:US
Mailing Address - Phone:775-323-6222
Mailing Address - Fax:775-323-6263
Practice Address - Street 1:5365 MAE ANNE AVE STE A10
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1841
Practice Address - Country:US
Practice Address - Phone:775-323-6222
Practice Address - Fax:775-323-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness