NPI 1184922916

Impact Communtiy Service LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Reno, NV

Practice location

Address: 9801 Crystalline Dr, Reno, NV 89506-7566
Phone: (775) 677-2640

Authorised official

Name: Donald Wade Skipper
Title: Basic Skills Trainer
Phone: (775) 378-6722

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence GF125403151 (NV)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Nevada →

Registry record

NPI: 1184922916
Entity type: Organization
NPI issued: 2 Mar 2011
Record last updated: 2 Mar 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.