Healthcare Provider Details

I. General information

NPI: 1003786104
Provider Name (Legal Business Name): RENO STRONGER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 E 4TH ST
RENO NV
89512-3506
US

IV. Provider business mailing address

1128 E 4TH ST
RENO NV
89512-3506
US

V. Phone/Fax

Practice location:
  • Phone: 775-357-9626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID MARLON
Title or Position: CEO
Credential:
Phone: 702-202-6647