Organization
DR. WILLIAM JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CONWAY (MANAGEMENT ANALYST II)
(775) 688-0400
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-0400
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-0400
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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