Family Impact of Nevada
NPI #1205079118 in N Las Vegas, Nevada
Provider Information
- NPI Number
- 1205079118
- Entity Type
- Organization
- Organization Name
- Family Impact of Nevada
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 8, 2009
- Last Updated
- Apr 8, 2009
Practice Location
- Address
- 2513 BRAVE HEART AVE
- City
- N Las Vegas
- State
- Nevada
- ZIP Code
- 89031-0685
- Phone
- (702) 883-9750
Authorized Official
- Name
- MRS. CARMEA ANTASHA BASS
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (702) 883-9750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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