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Organization

IMPACT COMMUNTIY SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD WADE SKIPPER (BASIC SKILLS TRAINER)
(775) 378-6722
Entity
Organization

Contact information

Practice address
9801 CRYSTALLINE DR, RENO, NV 89506-7566
(775) 677-2640
Mailing address
9801 CRYSTALLINE DR, RENO, NV 89506-7566
(775) 677-2640

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
GF125403151
NV

Other

Enumeration date
03/02/2011
Last updated
03/02/2011
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