Organization
NEVADA CHILDRENS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BESCHELLE JUANMIA LOCKHART (EXECUTIVE DIRECTOR)
(702) 736-8100
Entity
Organization
Contact information
Practice address
5615 S PECOS RD, LAS VEGAS, NV 89120-1961
(702) 736-8100
(702) 736-7881
Mailing address
5615 S PECOS RD, LAS VEGAS, NV 89120-1961
(702) 736-8100
(702) 736-7881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4944-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005042310
—
NV
05
—
9005042328
—
NV
Enumeration date
07/11/2011
Last updated
07/11/2011
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