| Vestige Project, Llc | |
|
9801 Crystalline Dr Reno NV 89506-7566 | |
| (775) 250-1800 | |
| Not Available |
| Full Name | Vestige Project, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9801 Crystalline Dr, Reno, Nevada |
| Authorized Official Name and Position | Christie R Loutzenheiser (PROGRAM DIRECTOR/ QMHA) |
| Authorized Official Contact | 7752501800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vestige Project, Llc 9801 Crystalline Dr Reno NV 89506-7566 Ph: (775) 250-1800 | Vestige Project, Llc 9801 Crystalline Dr Reno NV 89506-7566 Ph: (775) 250-1800 |
| NPI Number | 1033417175 |
|---|---|
| Provider Enumeration Date | 03/13/2011 |
| Last Update Date | 03/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033417175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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