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Organization

FAMILY SI & CD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JINI MUHAMMAD (OWNER)
(702) 799-9259
Entity
Organization

Contact information

Practice address
2775 S JONES BLVD STE 100B, LAS VEGAS, NV 89146-5655
(702) 799-9259
(702) 995-1181
Mailing address
4122 NEIGHBORLY CT, NORTH LAS VEGAS, NV 89032-6109
(702) 799-9259
(702) 773-6147

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
09/02/2017
Last updated
07/21/2022
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