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NPI Code Detail

MEDICARE: SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF NEVADA

MEDICARE: SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF NEVADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3251B00000XCase Management Agency

General Provider Information

NPI Number : 1558550392
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF NEVADA
Provider Business Mailing Address
First Line : 10100 ELIDA RD
Second Line :
City : DELPHOS
State : OH
Zip : 45833-9056
Country : US
Telephone Number : 419-695-8010
Fax Number : 419-695-0004
Provider Business Practice Location Address
First Line : 4495 W HACIENDA AVE STE 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1541
Country : US
Telephone Number : 702-385-5331
Fax Number : 703-385-5678
Authorized Official
Title or Position : STATE DIRECTOR
Name : MRS. PAM KURCZ
Credential : MSW/LSW
Telephone Number : 702-385-5331
Provider Enumeration Date : 10/17/2007
Last Update Date : 10/17/2007

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Directions to “SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF NEVADA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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