Organization
MOUNTAIN CIRCLE
Active
Other names
Mountain Circle Family Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA ROSSINGTON (CEO)
(530) 284-7007
Entity
Organization
Contact information
Practice address
4600 KIETZKE LN STE O260, RENO, NV 89502-5046
(775) 825-9060
Mailing address
PO BOX 554, GREENVILLE, CA 95947
(530) 284-7007
(530) 284-7111
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509693
—
NV
Enumeration date
05/08/2007
Last updated
01/15/2014
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