Impact Communtiy Service LLC

NPI #1184922916 in Reno, Nevada

Provider Information

NPI Number: 1184922916
Entity Type: Organization
Organization Name: Impact Communtiy Service LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Mar 2, 2011
Last Updated: Mar 2, 2011

Practice Location

Address: 9801 CRYSTALLINE DR
City: Reno
State: Nevada
ZIP Code: 89506-7566
Phone: (775) 677-2640

Authorized Official

Name: MR. DONALD WADE SKIPPER
Title: BASIC SKILLS TRAINER
Phone: (775) 378-6722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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