| NPI | 1598373516 | 
|---|---|
| Doing Business As | SIERRA SAGE MEDICAID BILLING OFFICE | 
| Entity Type | Organization | 
| Authorized Contact | RUSTY E. ALEXANDER Business Managing Director 775-392-2639  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health | 
| Enumeration Date | 2020-07-15 | 
| Last Update Date | 2020-07-15 |