Organization
CENTER FOR LIFE-CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOHN WYNN (EXECUTIVE DIRECTOR)
(775) 762-7903
Entity
Organization
Contact information
Practice address
155 CADILLAC PL, RENO, NV 89509-4355
(702) 503-3382
Mailing address
PO BOX 20074, LAS VEGAS, NV 89112-2074
(702) 569-2250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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