Centennial Family Services
Counselor, Mental Health in North Las Vegas, NV. Organization (NPI-2).
NPI number1902167653
StatusActive
Last updated in NPPESDec 18, 2013
Details
- NPI
- 1902167653
- Entity type
- Organization (NPI-2)
- Legal business name
- Centennial Family Services
- Organization subpart
- No
- Enumeration date
- May 30, 2012
- Last updated
- Dec 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Centennial Family Services LLC (Other Name)
Practice location
3560 W Cheyenne AveSuite 130
North Las Vegas, NV 89032-8260
Phone 702-258-8023
Mailing address
3560 W Cheyenne AveSuite 130
North Las Vegas, NV 89032-8260
Phone 702-258-8023
Authorized official
Stephenia Bursey
Program Director
7022588023
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