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Organization

NEVADA'S CHILDREN & FAMILY DEVELOPMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH WILEY (CHIEF EXECUTIVE OFFICER/OWNER)
(702) 909-8900
Entity
Organization

Contact information

Practice address
1515 E TROPICANA AVE STE 375, LAS VEGAS, NV 89119-6520
(702) 909-8900
(702) 909-8905
Mailing address
1515 E. TROPICANA AVE. STE 375, LAS VEGAS, NV 89119
(702) 909-8900

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
252Y00000X
Early Intervention Provider Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility

Other

Enumeration date
09/26/2012
Last updated
09/27/2022
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