Organization
UP YOUTH & FAMILY LLC
Active
Organization
UP YOUTH & FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHI BLACK (DIRECTOR)
(702) 612-2839
Entity
Organization
Contact information
Practice address
6571 CLEAR PEAK CT, LAS VEGAS, NV 89156-3720
(702) 612-2839
Mailing address
6571 CLEAR PEAK CT, LAS VEGAS, NV 89156-3720
(702) 612-2839
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181045451
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NV
Enumeration date
01/18/2018
Last updated
06/16/2018
Update your record
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