Individual provider · Type 1 NPI

Kristal Wilson

Mental Illness Community Based Residential Treatment Facility · Reno, NV

NPI number 1134533862 Active

Practice location

2470 Wrondel Way Ste 275
Reno, NV 89502-3701

Call (775) 354-3991 Map

Fax (775) 336-1082

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X4100647854 (NV)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1134533862

Kristal Wilson's National Provider Identifier is 1134533862, issued on Jun 20, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Reno, NV. The record was last updated on Jun 20, 2014.