OrganizationActive
Life Changes Rehabilitation
NPI 1487162137 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Reno, NV
Provider details
- NPI number
- 1487162137
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Summer Willis, Owner(775) 388-4001
Specialties & taxonomies
Residential Treatment Facilities
Practice location
550 E 4th St
Reno, NV 89512-3316
Phone: (775) 338-4001
Approximate (ZIP-level) locationGet directions
Mailing address
550 E 4th St
Reno, NV 89512-3316
Registry dates
- Enumerated
- 2018-01-16
- Last updated
- 2018-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.