Organization
HENDERSON FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KIRBY (AUTHORIZED ADMINISTRATOR)
(702) 619-3919
Entity
Organization
Contact information
Practice address
3513 E RUSSELL RD STE D, LAS VEGAS, NV 89120-2244
(702) 619-3919
Mailing address
3513 E RUSSELL RD STE D, LAS VEGAS, NV 89120-2244
(702) 619-3919
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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