Independent Choices for Success Community Development Corporation

NPI #1801109418 in N Las Vegas, Nevada

Provider Information

NPI Number: 1801109418
Entity Type: Organization
Organization Name: Independent Choices for Success Community Development Corporation
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Jul 23, 2010
Last Updated: May 27, 2011

Practice Location

Address: 320 PRINCESS AVE
City: N Las Vegas
State: Nevada
ZIP Code: 89030-3809
Phone: (702) 573-5812

Authorized Official

Name: PHYLLIS JONES-JEFFERSON
Title: PRESIDENT
Phone: (702) 573-5812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Local Education Agency (LEA)	251300000X
Case Management	251B00000X
Voluntary or Charitable	251V00000X
Clinic/Center - Family Planning, Non-Surgical — Family Planning, Non-Surgical	261QF0050X
Clinic/Center - Genetics — Genetics	261QG0250X
Clinic/Center - Health Service — Health Service	261QH0100X
Private Vehicle	347C00000X
Social Worker - Clinical — Clinical	1041C0700X
Psychologist - Health Service — Health Service	103TH0100X
Marriage & Family Therapist	106H00000X	Primary

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