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BRISTLECONE FAMILY RESOOURCES NPI 1699159400


NPI Information

NPI: 1699159400
Provider Name: BRISTLECONE FAMILY RESOOURCES

Doing Business As: BRISTLECONE PROBLEM GAMBLING CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
704 MILL ST
RENO, NV
ZIP 89502
Phone: (775) 954-1400
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BRISTLECONE FAMILY RESOOURCES is a substance abuse rehabilitation facility in Reno, NV. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BRISTLECONE FAMILY RESOOURCES NPI is 1699159400. The provider is registered as an organization entity type.
The provider Is Doing Business As Bristlecone Problem Gambling Center.

The provider's business location address is:

704 MILL ST
RENO, NV
ZIP 89502-321
Phone: (775) 954-1400
Fax: (775) 954-1406

The provider's authorized official is Peter Ott .
The authorized official title is Executive Director and has the following contact phone number (775) 954-1400.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 9/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility7663ADA-1NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457515850MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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