IndividualActive
Kristal Wilson
NPI 1134533862 · Mental Illness Community Based Residential Treatment Facility · Reno, NV
Provider details
- NPI number
- 1134533862
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4100647854 (NV)
Practice location
2470 Wrondel Way Ste 275
Reno, NV 89502-3701
Phone: (775) 354-3991
Fax: (775) 336-1082
Mailing address
2470 Wrondel Way Ste 275
Reno, NV 89502-3701
Registry dates
- Enumerated
- 2014-06-20
- Last updated
- 2014-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.