A.C.T.I.V.E
Foster Care Agency in Las Vegas, NV. Organization (NPI-2).
NPI number1891052627
StatusActive
Last updated in NPPESJan 18, 2013
Details
- NPI
- 1891052627
- Entity type
- Organization (NPI-2)
- Legal business name
- A.C.T.I.V.E
- Organization subpart
- No
- Enumeration date
- Apr 18, 2012
- Last updated
- Jan 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | NV20121132212 | NV | Yes |
| 251S00000X | Community/Behavioral Health | NV20121132212 | NV |
Practice location
5836 S Pecos RdBuilding D Suite 101
Las Vegas, NV 89120-3418
Phone 702-281-6560
Mailing address
52 Prominent Bluff CtHenderson, NV 89002-3306
Phone 702-281-6560
Authorized official
Brandon Mukes
Assistant Director
7022816560
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