MEDICARE: FAMILY FOCUS CENTER LLC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1831870518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOCUS CENTER LLC

Provider Business Mailing Address
First Line	:	1825 FLOWER DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 FLOWER DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7102
Country	:	US
Telephone Number	:	702-413-8734
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JUSTIN A ROBERTS
Credential	:
Telephone Number	:	702-413-8734

Provider Enumeration Date	:	07/26/2023
Last Update Date	:	07/26/2023

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