NPI 1215341011

Mitchell Moore

Practitioner Mental Illness Community Based Residential Treatment Facility Reno, NV

Practice location

Address: 2470 Wrondel Way STE 275, Reno, NV 89502-3701
Phone: (775) 354-3991
Fax: (775) 336-1082

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 0801939769 (NV)

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

Registry record

NPI: 1215341011
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2014
Record last updated: 19 Jun 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.