NPI 1154614105

My Home Ice

Organisation Mental Illness Community Based Residential Treatment Facility Reno, NV

Practice location

Address: 10880 Deodar Way, Reno, NV 89506-9064
Phone: (775) 786-4168
Fax: (775) 786-5622

Authorised official

Name: Elizabeth Robin Webb
Title: Program Director
Phone: (702) 595-2868

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Nevada →

Registry record

NPI: 1154614105
Entity type: Organization
NPI issued: 24 May 2011
Record last updated: 24 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.