Organization
2ND CHANCE RECOVERY & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY MALLORY (OWNER)
(775) 224-9515
Entity
Organization
Contact information
Practice address
3650 WARREN WAY, RENO, NV 89509
(775) 470-8345
Mailing address
3650 WARREN WAY, RENO, NV 89509
(775) 470-8345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NV
Enumeration date
02/22/2017
Last updated
02/22/2017
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