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Organization

BRISTLECONE FAMILY RESOOURCES

Active
Other names
Bristlecone Problem Gambling Center
Organization subpart
No

Provider details

NPI number
Authorized official
PETER OTT (EXECUTIVE DIRECTOR)
(775) 954-1400
Entity
Organization

Contact information

Practice address
704 MILL ST, RENO, NV 89502-1321
(775) 954-1400
(775) 954-1406
Mailing address
704 MILL ST, RENO, NV 89502-1321
(775) 954-1400
(775) 954-1406

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
7663ADA-1
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457515850
NV
Enumeration date
07/13/2015
Last updated
09/26/2023
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