Organization
FOUNDATION FOR POSITIVELY KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A NEW (VICE PRESIDENT MEDICAL CLINICS)
(702) 455-5639
Entity
Organization
Contact information
Practice address
2480 E TOMPKINS AVE STE 101, LAS VEGAS, NV 89121-5466
(702) 262-0037
(702) 262-0252
Mailing address
2480 E TOMPKINS AVE STE 222, LAS VEGAS, NV 89121-7625
(702) 262-0037
(702) 262-0252
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
NV1172
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100523923
—
NV
Enumeration date
06/06/2011
Last updated
08/11/2021
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