Organization
PRODUCTIVE MEMBER'S OF SOCIETY COMMUNITY AND FAMILY SERVICES
Active
Other names
PMOS-CFS
Organization subpart
No
Provider details
NPI number
Authorized official
LACOLE S JAMES MSW (LEAD LIFE ENHANCEMENT CONSULTANT-I)
(702) 234-9339
Entity
Organization
Contact information
Practice address
2121 E FLAMINGO RD STE 114, LAS VEGAS, NV 89119-5123
(702) 234-9339
Mailing address
2121 E FLAMINGO RD STE 114, LAS VEGAS, NV 89119-5123
(702) 234-9339
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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