| Raising Up Youth Services | |
|
6259 Copper Light St North Las Vegas NV 89081-6408 | |
| (702) 812-1079 | |
| Not Available |
| Full Name | Raising Up Youth Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6259 Copper Light St, North Las Vegas, Nevada |
| Authorized Official Name and Position | Don Christopher Roberts (PRESIDENT) |
| Authorized Official Contact | 7028121079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raising Up Youth Services 6259 Copper Light St North Las Vegas NV 89081-6408 Ph: (702) 812-1079 | Raising Up Youth Services 6259 Copper Light St North Las Vegas NV 89081-6408 Ph: (702) 812-1079 |
| NPI Number | 1326357021 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 09/28/2010 |
| Medicare PECOS PAC ID | 0042661100 |
|---|---|
| Medicare Enrollment ID | O20240112002645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326357021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Don Christopher Roberts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972813103 PECOS PAC ID: 8820483464 Enrollment ID: I20240112002721 |
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