Organization
NEXT GENERATION FAMILY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERNORIA P CHILDRESS BS (OWNER/DIRECT SUPERVISOR)
(702) 488-7086
Entity
Organization
Contact information
Practice address
1946 ONA MARIE AVE, N LAS VEGAS, NV 89032-4867
(702) 488-7086
Mailing address
1946 ONA MARIE AVE, N LAS VEGAS, NV 89032-4867
(702) 488-7086
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20131504676
NV
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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