NPI 1245676410
Family and Child Treatment (fact)
Practice location
- Address
- 6431 W Sahara Ave STE 200, Las Vegas, NV 89146-3064
- Phone
- (702) 258-5855
- Fax
- (702) 258-9767
Authorised official
- Name
- Shawnette Roque
- Title
- Substance Abuse Counselor
- Phone
- (702) 258-5855
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1245676410
- Entity type
- Organization
- NPI issued
- 15 May 2013
- Record last updated
- 15 May 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.