Organization
CENTENNIAL FAMILY SERVICES
Active
Other names
Centennial Family Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHENIA BURSEY (PROGRAM DIRECTOR)
(702) 258-8023
Entity
Organization
Contact information
Practice address
3560 W CHEYENNE AVE, SUITE 130, NORTH LAS VEGAS, NV 89032-8260
(702) 258-8023
Mailing address
3560 W CHEYENNE AVE, SUITE 130, NORTH LAS VEGAS, NV 89032-8260
(702) 258-8023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/30/2012
Last updated
12/18/2013
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