Organization
CHOSEN PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAROL MYERS (OWNER)
(775) 379-7870
Entity
Organization
Contact information
Practice address
1701 WEDEKIND RD, RENO, NV 89512-2665
(775) 379-7870
Mailing address
1701 WEDEKIND RD, RENO, NV 89512-2665
(775) 379-7870
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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