NPI | 1952772345 |
---|---|
Doing Business As | VENCER YOUTH SERVICES |
Entity Type | Organization |
Authorized Contact | TRACY A DAVIS Executive Director 702-267-6277 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: NV NV20151295293) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV NV20151295293) |
101YM0800X Counselor, Mental Health (Licence: NV NV20151295293) | |
Enumeration Date | 2015-10-12 |
Last Update Date | 2015-10-12 |