Healthcare Provider Details

I. General information

NPI: 1871235812
Provider Name (Legal Business Name): PROJECT HELP NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N SIERRA ST STE 104
RENO NV
89501-1336
US

IV. Provider business mailing address

PO BOX 40362
RENO NV
89504-4362
US

V. Phone/Fax

Practice location:
  • Phone: 775-200-8827
  • Fax:
Mailing address:
  • Phone: 775-200-8827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: NATHAN JERSEY
Title or Position: BOARD MEMBER
Credential:
Phone: 775-200-8827