Organization
COMMUNITY CARE SERVICES LLC
Active
Parent organization
COMMUNITY CARE SERVICES LLC
Other names
Renown Health Medical Group Pediatrics, Renown Children's
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE SERVICES LLC
Authorized official
MR. BRETT MOORE (CFO ACUTE CARE)
(775) 982-6343
Entity
Organization
Contact information
Practice address
901 E 2ND ST STE 201, RENO, NV 89502-1186
(775) 982-5000
(775) 982-3971
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
12/11/2018
Last updated
04/10/2024
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