Organization
NEVADA HOMES FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CRAIG MOORE MSW (EXECUTIVE DIRECTOR)
(702) 380-2889
Entity
Organization
Contact information
Practice address
525 S 13TH ST, LAS VEGAS, NV 89101-7203
(702) 380-2889
(702) 380-2893
Mailing address
525 S 13TH ST, LAS VEGAS, NV 89101-7203
(702) 380-2889
(702) 380-2893
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5516ADA-3
NV
Other
Enumeration date
10/25/2011
Last updated
10/31/2011
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