Maple Star Nevada LLC

NPI #1457492332 in Reno, Nevada

Provider Information

NPI Number: 1457492332
Entity Type: Organization
Organization Name: Maple Star Nevada LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 12, 2007
Last Updated: Nov 2, 2020

Practice Location

Address: 855 W 7TH ST STE 160
City: Reno
State: Nevada
ZIP Code: 89503-2706
Phone: (775) 677-2216

Authorized Official

Name: ANTOINETTE POULSON
Title: PROGRAM MANAGER
Phone: (775) 677-2216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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Maple Star Nevada	Clinic/Center - Mental Health (Including Community Mental Health Center)	Reno	AI Deep Dive
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