Organization
WILLOW SPRINGS LLC
Active
Parent organization
WILLOW SPRINGS LLC
Other names
WILLOW SPRINGS OUTPATIENT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLOW SPRINGS LLC
Authorized official
MISS SABRINA D PATTON (CFO)
(775) 858-4536
Entity
Organization
Contact information
Practice address
650 EDISON WAY, RENO, NV 89502-4100
(775) 284-4717
(775) 284-4595
Mailing address
PO BOX 30012, RENO, NV 89520-3012
(775) 789-4274
(775) 789-4260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512758
—
NV
Enumeration date
10/29/2008
Last updated
10/29/2008
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