Organization
NEVADA HOMES FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MOORE (EXECUTIVE DIRECTOR)
(702) 380-2889
Entity
Organization
Contact information
Practice address
525 S 13TH ST, LAS VEGAS, NV 89101-7203
(702) 380-2889
Mailing address
525 S 13TH ST, LAS VEGAS, NV 89101-7203
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
5516ADA-6
NV
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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