Organization
CHANGE AGENTS OF SOCIAL SERVICES
Active
Organization
CHANGE AGENTS OF SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILEY LMSW (DIRECTOR)
(702) 305-0652
Entity
Organization
Contact information
Practice address
9205 W RUSSELL RD STE 240, LAS VEGAS, NV 89148-1425
(702) 305-0652
Mailing address
9205 W RUSSELL RD STE 240, LAS VEGAS, NV 89148-1425
(702) 305-0652
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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