Bristlecone Problem Gambling Center

LBN: Bristlecone Family Resoources
Bristlecone Problem Gambling Center is an health care organization with primary practice located at 704 Mill St , Reno NV 89502-1321. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Bristlecone Family Resoources can be contacted via phone (775) 954-1400, or through Ott, Peter via phone (775) 954-1400.

Contact Information

Primary practice address
704 Mill St Reno NV 89502-1321
Fax: (775) 954-1406
Website:
Authorized official contact:
Name: Ott, Peter

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 7663ADA-1 Nevada

Profile Details

NPI number 1699159400
LBN Legal business name Bristlecone Family Resoources
DBA Doing business as Bristlecone Problem Gambling Center
Authorized official Ott, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2015
Last updated Sep 26th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699159400 NPPES
Nevada MEDICAID 1457515850

Popular Providers