Organization
PRIDE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MCVEIGH MBA (CHIEF EXECUTIVE OFFICER)
(775) 762-6048
Entity
Organization
Contact information
Practice address
2470 WRONDEL WAY, RENO, NV 89502-3701
(775) 762-6048
Mailing address
2470 WRONDEL WAY, RENO, NV 89502-3701
(775) 762-6048
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505100
—
NV
Enumeration date
08/10/2010
Last updated
08/10/2010
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