Organization
VISIONARY FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONDRE AVERY BSW (CEO)
(702) 538-6633
Entity
Organization
Contact information
Practice address
10446 MIDSEASON MIST ST, LAS VEGAS, NV 89183-4299
(702) 538-6633
Mailing address
10446 MIDSEASON MIST ST, LAS VEGAS, NV 89183-4299
(702) 538-6633
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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