EDWARD JACK
Community Based Residential Treatment Facility, Mental Illness
Active
Individual
NPI: 1568769867
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | - |
Frequently Asked Questions
NPI 1568769867 is the National Provider Identifier for EDWARD JACK, a Community Based Residential Treatment Facility, Mental Illness provider located in Reno, NV. This NPI was enumerated on February 22, 2011.
EDWARD JACK practices at 3100 MILL ST, SUITE 206, Reno, NV 89502.
Quick Facts
- NPI
- 1568769867
- Type
- Individual
- Enumerated
- Feb 22, 2011
- Last Updated
- Feb 22, 2011
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