| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 770 Mill St, Reno, Nevada |
| Authorized Official Name and Position | James Arthur Roets (MANAGING PARTNER) |
| Authorized Official Contact | 7028309740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4780 Arville St Las Vegas NV 89103-5402 Ph: (702) 830-9740 | 770 Mill St Reno NV 89502-1321 Ph: (775) 636-7767 |
| NPI Number | 1033619697 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033619697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20121604166 (Nevada) | Primary |
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