| Children And Adolescent Mentoring Services | |
|
8275 S Eastern Ave Ste 119 Las Vegas NV 89123-2544 | |
| (702) 285-4051 | |
| (888) 725-8902 |
| Full Name | Children And Adolescent Mentoring Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8275 S Eastern Ave Ste 119, Las Vegas, Nevada |
| Authorized Official Name and Position | Sonya Renae Jackson-huddleston (CONTROLLER) |
| Authorized Official Contact | 7022854051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Adolescent Mentoring Services Po Box 33096 Las Vegas NV 89133-3096 Ph: (702) 285-4051 | Children And Adolescent Mentoring Services 8275 S Eastern Ave Ste 119 Las Vegas NV 89123-2544 Ph: (702) 285-4051 |
| NPI Number | 1114638517 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114638517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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