| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 223 Marsh Ave, Reno, Nevada |
| Authorized Official Name and Position | Carol Schaye (DIRECTOR) |
| Authorized Official Contact | 7752405251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
223 Marsh Ave Reno NV 89509-1626 Ph: (775) 240-5251 | 223 Marsh Ave Reno NV 89509-1626 Ph: (775) 240-5251 |
| NPI Number | 1982050167 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 05/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982050167 | NPI | - | NPPES |
| 1033480975 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 471-L (Nevada) | Primary |
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