Organization
SOUTHERN NEVADA CHILDREN FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HARRIS (MEDICIAL)
(702) 487-5665
Entity
Organization
Contact information
Practice address
720 W CHEYENNE AVE STE 30, NORTH LAS VEGAS, NV 89030-7817
(702) 487-5665
Mailing address
720 W CHEYENNE AVE STE 30, NORTH LAS VEGAS, NV 89030-7817
(702) 487-5665
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
856424616
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560713071
—
CA
Enumeration date
08/05/2014
Last updated
08/05/2014
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