| Great Basin Behavioral Health And Wellness | |
|
1325 Airmotive Way Ste 100 Reno NV 89502-3201 | |
| (775) 453-4143 | |
| (775) 996-5616 |
| Full Name | Great Basin Behavioral Health And Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1325 Airmotive Way, Reno, Nevada |
| Authorized Official Name and Position | Rudolph Von Ravensberg (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7754534143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Basin Behavioral Health And Wellness 1325 Airmotive Way Ste 100 Reno NV 89502-3201 Ph: (775) 453-4143 | Great Basin Behavioral Health And Wellness 1325 Airmotive Way Ste 100 Reno NV 89502-3201 Ph: (775) 453-4143 |
| NPI Number | 1508279746 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 12/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508279746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV MFT 1098 (Nevada) | Primary |
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