Organization
EMPOWERMENT CENTER OF SOUTHERN NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNA GAUFF (OWNER)
(702) 721-8508
Entity
Organization
Contact information
Practice address
1024 W OWENS AVE STE B, LAS VEGAS, NV 89106-2520
(702) 636-8729
(702) 441-1808
Mailing address
1024 W OWENS AVE STE B, LAS VEGAS, NV 89106-2520
(702) 636-8729
(702) 441-1808
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
NV20181464682
NV
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/28/2018
Last updated
12/06/2024
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