| Maple Star Nevada | |
|
8455 Offenhauser Dr #517 Reno NV 89511 | |
| (775) 852-8335 | |
| Not Available |
| Full Name | Maple Star Nevada |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8455 Offenhauser Dr, Reno, Nevada |
| Authorized Official Name and Position | Cheryl Christina Grimes (THERAPUTIC FOSTER PARENT) |
| Authorized Official Contact | 7758528335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Star Nevada 8455 Offenhauser Dr #517 Reno NV 89511-1752 Ph: (775) 852-8335 | Maple Star Nevada 8455 Offenhauser Dr #517 Reno NV 89511 Ph: (775) 852-8335 |
| NPI Number | 1942595210 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942595210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | FF-125404617 (Nevada) | Primary |
| 253J00000X | Foster Care Agency | GF880321776-0316 (Nevada) | Secondary |
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