Kristal Wilson

NPI #1134533862 in Reno, Nevada

Provider Information

NPI Number: 1134533862
Entity Type: Individual
Name: Kristal Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jun 20, 2014
Last Updated: Jun 20, 2014

Practice Location

Address: 2470 WRONDEL WAY STE 275
City: Reno
State: Nevada
ZIP Code: 89502-3701
Phone: (775) 354-3991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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