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639 Isbell Rd Suite 380 Reno NV 89509-4967 | |
| (775) 348-5800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 639 Isbell Rd, Reno, Nevada |
| Authorized Official Name and Position | J. Michael Mountain (CFO) |
| Authorized Official Contact | 2706896500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1637 Owensboro KY 42302-1637 Ph: (270) 689-6500 | 639 Isbell Rd Suite 380 Reno NV 89509-4967 Ph: (775) 348-5800 |
| NPI Number | 1457539181 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 04/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457539181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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