Edward Joseph Jack - Reno, NV

Edward Joseph Jack

Mental Illness Community Based Residential Treatment Facility in Reno, Nevada

NPI 1568769867

Edward Joseph Jack is a Mental Illness Community Based Residential Treatment Facility based in Reno, NV. Edward Joseph Jack practices in Reno, NV. The NPI Number for Edward Joseph Jack is 1568769867 and holds a License No. (Nevada).

The current practice location address for Edward Joseph Jack is 3100 Mill St, Reno, NV and can be reached out via phone at 775-348-8048 and via fax at 775-348-8043.

Location: 3100 Mill St, Reno, NV, 89502-2259

NPI Number

1568769867

Provider Name

Edward Joseph Jack

Credential

Provider Entity Type

Individual

Gender

Male

Address

3100 Mill St, Reno, NV, 89502-2259

Phone Number

775-348-8048

Fax Number

775-348-8043

Provider Enumeration Date

02/22/2011

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
100511515	05	NV

Address

3100 Mill St

City

Reno

State

Nevada

Zip

89502-2259

Phone Number

775-348-8048

Fax Number

775-348-8043

Address

3100 Mill St

City

Reno

State

Nevada

Zip

89502-2259

Phone Number

775-348-8048

Fax Number

775-348-8043

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

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Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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