Healthcare Provider Details

I. General information

NPI: 1619488525
Provider Name (Legal Business Name): RENO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 10/23/2020
Certification Date: 10/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6940 SIERRA CENTER PARKWAY
RENO NV
89511
US

IV. Provider business mailing address

6940 SIERRA CENTER PKWY
RENO NV
89511-2209
US

V. Phone/Fax

Practice location:
  • Phone: 248-905-5091
  • Fax:
Mailing address:
  • Phone: 775-393-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: HANA ATTAR
Title or Position: AVP/MANAGING COUNSEL
Credential:
Phone: 248-905-5091