Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SUPER YOUTH OF NEVADA
Active
Organization
SUPER YOUTH OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRIUS JEMIL HUNTER (MANAGER)
(702) 748-1508
Entity
Organization
Contact information
Practice address
867 WORRELL AVE, LAS VEGAS, NV 89123-3183
(702) 748-1508
Mailing address
867 WORRELL AVE., LAS VEGAS, NV 89123-3183
(702) 748-1508
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
01/27/2012
Last updated
04/11/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers