NPI 1417352477

Step2

Organisation Substance Abuse Rehabilitation Facility Reno, NV

Practice location

Address: 3700 Safe Harbor Way, Reno, NV 89512-1137
Phone: (530) 787-9411
Fax: (775) 787-9445

Authorised official

Name: Diaz Dixon
Title: Ceo
Phone: (775) 787-9411

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 01118 (NV)

Other Substance Abuse Rehabilitation Facility providers in Nevada →

Registry record

NPI: 1417352477
Entity type: Organization
NPI issued: 3 Nov 2014
Record last updated: 3 Nov 2014

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.