| Nevada Homes For Youth | |
|
525 S 13th St Las Vegas NV 89101-7203 | |
| (702) 380-2889 | |
| (702) 380-2893 |
| Full Name | Nevada Homes For Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 S 13th St, Las Vegas, Nevada |
| Authorized Official Name and Position | Ronald Craig Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7023802889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Homes For Youth 525 S 13th St Las Vegas NV 89101-7203 Ph: (702) 380-2889 | Nevada Homes For Youth 525 S 13th St Las Vegas NV 89101-7203 Ph: (702) 380-2889 |
| NPI Number | 1871879619 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871879619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5516ADA-3 (Nevada) | Primary |
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