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Organization

COMMUNITY CARE SERVICES LLC

Active
Parent organization
COMMUNITY CARE SERVICES LLC
Other names
Stacie Mathewson Behavioral Health & Addiction Institute, Renown Medical Group - Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY CARE SERVICES LLC
Authorized official
MR. BRETT MOORE (CFO ACUTE CARE)
(775) 982-6343
Entity
Organization

Contact information

Practice address
85 KIRMAN AVE STE 200, RENO, NV 89502-1339
(775) 982-2862
(775) 982-2865
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
12/10/2018
Last updated
04/09/2025
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