Organization
VENCER HEALTH
Active
Organization
VENCER HEALTH
Active
Other names
Vencer Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY A DAVIS (EXECUTIVE DIRECTOR)
(702) 267-6277
Entity
Organization
Contact information
Practice address
4955 S DURANGO DR, #207, LAS VEGAS, NV 89113-0152
(702) 267-6277
Mailing address
4955 S DURANGO DR, #207, LAS VEGAS, NV 89113-0152
(702) 267-6277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NV20151295293
NV
101YM0800X
Mental Health Counselor
NV20151295293
NV
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
NV20151295293
NV
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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