| Organization Name: | STEPPING STONES YOUTH FACILITY |
| NPI Number: | 1184954604 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA E. WACHSMUTH (CASE MANAGER) |
| Mailing Address: | 2101 Agency Rd Fallon |
| State: | NV US |
| Postal Code: | 894067142 |
| Phone Number: | 7754231132 |
| Fax Number: | 7754233503 |
| NPI Enumeration Date: | 01/06/2010 |
| NPI Last Update Date: | 01/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PY085 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |