Organization
FAMILY CENTERS OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYONNA COLE (OWNER / CEO)
(702) 277-5406
Entity
Organization
Contact information
Practice address
222 S RAINBOW BLVD STE 212, LAS VEGAS, NV 89145-5356
(702) 277-5406
(702) 852-0607
Mailing address
6545 S FORT APACHE RD STE 135-133, LAS VEGAS, NV 89148-6752
(702) 277-5406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134463821
—
NV
05
—
1588105530
—
NV
Enumeration date
12/04/2019
Last updated
01/12/2022
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