| NPI | 1932670478 |
|---|---|
| Doing Business As | RENOWN MEDICAL GROUP - BEHAVIORAL HEALTH |
| Doing Business As | STACIE MATHEWSON BEHAVIORAL HEALTH & ADDICTION INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | BRETT MOORE CFO Acute Care 775-982-6343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2024-06-01 |