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Organization
CENTENNIAL FAMILY SERVICES
Active
Organization
CENTENNIAL FAMILY SERVICES
Active
Other names
Centennial Family Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHENIA BURSEY (PROGRAM DIRECTOR)
(702) 258-8023
Entity
Organization
Contact information
Practice address
3560 W CHEYENNE AVE, SUITE 130, NORTH LAS VEGAS, NV 89032-8260
(702) 258-8023
Mailing address
3560 W CHEYENNE AVE, SUITE 130, NORTH LAS VEGAS, NV 89032-8260
(702) 258-8023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
05/30/2012
Last updated
12/18/2013
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