Cerecare Clinics LLC
Clinic/Center, Multi-Specialty in Reno, NV. Organization (NPI-2).
NPI number1942932769
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1942932769
- Entity type
- Organization (NPI-2)
- Legal business name
- Cerecare Clinics LLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2022
- Certification date
- Jun 29, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | |
| 305R00000X | Preferred Provider Organization | – | – |
Other names
- Brain Health Restoration Center (Doing Business As)
Practice location
5255 Longley Ln Ste 140Reno, NV 89511-5201
Phone 775-507-7024
Mailing address
5255 Longley Ln Ste 140Reno, NV 89511-5201
Phone 775-507-7024
Authorized official
Chon Zavala
Medical Director
7758483052
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