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Organization

NEVADA FAMILY PRACTICE RESIDENCY PROGRAM, INC.

Active
Other names
Mojave Adult, Child and Family Services
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES R PARCELLS LISW (PRESIDENT)
(702) 968-5059
Entity
Organization

Contact information

Practice address
745 W MOANA LN, SUITE 100, RENO, NV 89509-4932
(775) 334-3033
(775) 334-3022
Mailing address
745 W MOANA LN, SUITE 100, RENO, NV 89509-4932
(775) 334-3033
(775) 334-3022

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100507630
NV
05
100507631
NV
05
100507632
NV
05
100507633
NV
05
100507635
NV
05
100507636
NV
05
100508050
NV
05
100508691
NV
05
100508692
NV
Enumeration date
07/11/2006
Last updated
06/17/2008
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