Organization
TRUCKEE MEADOWS MENTAL HEALTH
Active
Other names
Alpha & Omega Residential, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK C JOHNSON LMFT (CEO)
(775) 857-9599
Entity
Organization
Contact information
Practice address
4051 KINGS ROW, RENO, NV 89503-6825
(775) 997-5365
(775) 622-4798
Mailing address
9695 SILVER DESERT WAY, RENO, NV 89506-7598
(775) 997-5365
(775) 622-4798
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
E0146102012-5
NV
Other
Enumeration date
05/22/2012
Last updated
10/10/2017
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