Organization
MY BROTHERS KEEPER BEHAVIOR HEALTH
Active
Other names
My Brothers Keeper
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO COBB (PROGRAM MANAGER)
(702) 334-0801
Entity
Organization
Contact information
Practice address
525 TERRACINA WAY, RENO, NV 89521-3206
(702) 334-0801
Mailing address
525 TERRACINA WAY, RENO, NV 89521-3206
(702) 334-0801
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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