Organization · Type 2 NPI

State of Nevada

Mental Illness Community Based Residential Treatment Facility · Reno, NV

NPI number 1740357102 Active

Practice location

2655 Enterprise Rd
Reno, NV 89512-1666

Fax (775) 688-1616

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

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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NPI record

NPI: 1740357102
Entity type: Organization (Type 2)
Issued: Nov 29, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

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State of Nevada, Dhhs, Division of Child and Family Services · doing business as

Authorized official

Mr. Marty Carraher
Administrative Services Officer
(775) 688-1658

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740357102

State of Nevada's National Provider Identifier is 1740357102, issued on Nov 29, 2006. 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 Aug 22, 2020.