EDWARD JOSEPH JACK

RENO, NV
NPI1568769867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2011-02-22
Last Update Date2011-02-22
Business Address
-- EDWARD JOSEPH JACK
3100 MILL ST SUITE 206
RENO, NV 89502-2259
Phone number: 775-348-8048
Mailing Address
-- EDWARD JOSEPH JACK
3100 MILL ST SUITE 206
RENO, NV 89502-2259
Phone number: 775-348-8048
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