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Organization
NEVADA FAMILY PRACTICE RESIDENCY PROGRAM, INC.
Active
Organization
NEVADA FAMILY PRACTICE RESIDENCY PROGRAM, INC.
Active
Other names
Mojave Adult, Child and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R PARCELLS LISW (PRESIDENT)
(702) 968-5059
Entity
Organization
Contact information
Practice address
745 W MOANA LN, SUITE 100, RENO, NV 89509-4932
(775) 334-3033
(775) 334-3022
Mailing address
745 W MOANA LN, SUITE 100, RENO, NV 89509-4932
(775) 334-3033
(775) 334-3022
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507630
—
NV
05
—
100507631
—
NV
05
—
100507632
—
NV
05
—
100507633
—
NV
05
—
100507635
—
NV
05
—
100507636
—
NV
05
—
100508050
—
NV
05
—
100508691
—
NV
05
—
100508692
—
NV
Enumeration date
07/11/2006
Last updated
06/17/2008
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