Rainbow Adult Child Family Services
NPI #1104176361 in N Las Vegas, Nevada
Provider Information
- NPI Number
- 1104176361
- Entity Type
- Organization
- Organization Name
- Rainbow Adult Child Family Services
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Sep 14, 2012
- Last Updated
- Sep 14, 2012
Practice Location
- Address
- 5016 BLUE ROSE ST
- City
- N Las Vegas
- State
- Nevada
- ZIP Code
- 89081-2676
- Phone
- (702) 666-1626
Authorized Official
- Name
- MS. CHANTELL LANIECE DAVIS
- Title
- SENIOR OFFICE MANAGER
- Phone
- (702) 706-7855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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