Bristlecone Family Resources
Organization Active NPI Substance Abuse Rehabilitation Facility · Reno, NV
NPI 1457515850 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1457515850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- BRISTLECONE FAMILY RESOURCES
- Practice address
- 704 Mill St
Reno, NV 89502-1321 - Phone
- (775) 954-1400
- Fax
- (775) 954-1406
- NPI assigned
- Jul 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Peter Ott
- Title
- Executive Director
- Phone
- (775) 954-1400
Corporate family (same tax ID) 2
Practitioners 20
-
Nicole J Auldridge, LMFT
-
Vanessa Gallo, P.E.
-
Michael Neil Gooch, LCSW
-
David Ronald Gray, CADCI
-
Morgan Green, M.A., CADC-I
-
Julie Anne Klein, CADC
-
Donna Victoria Meyers, CADC INTERN
-
Mike A Ramirez, CADCINTERN
-
Dianne Marie Springborn, LCADC-S, CPGC-S, MFT
-
Gordon Allen Strande, CADC
-
Serena Timoszyk, LADC
National Provider Directory
- Tax ID family
- Bristlecone Family Resources
Locations
704 Mill St
Ste 775954
Reno, NV 89502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
704 Mill St
Reno, NV 89502-1321
Mailing address
704 Mill St
Reno, NV 89502-1321
Phone (775) 954-1400
Other names
- Bristlecone Recovery Center
NPI Registry JSON
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1457515850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021321",
"telephone_number": "775-954-1400",
"fax_number": "775-954-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021321",
"telephone_number": "775-954-1400",
"fax_number": "775-954-1406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRISTLECONE FAMILY RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-15",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "OTT",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "775-954-1400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bristlecone Recovery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
- Morgan Clover Briscoe
- Stacy Anne Briscoe
- Holly Brisson
- Bristlecone Family Resoources
- Bristlecone Family Resources
- Ryan James Bristol
- Adrienne Alexandra Brizuela
- Carlo Brizzolara
- Barry Duane Broadhead
- Mark Broadhead
All providers in Reno, NV · Substance Abuse Rehabilitation Facility in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.