Organization
PROJECT UP-LIFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO A HICKERSON QBA (MANAGER)
(775) 379-0748
Entity
Organization
Contact information
Practice address
9801 CRYSTALLINE DR, RENO, NV 89506-7566
(775) 622-0024
Mailing address
9801 CRYSTALLINE DR, RENO, NV 89506-7566
(775) 622-0024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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