Organization
FAMILY SI & CD
Active
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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