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NPI Code Detail

MEDICARE: REACHING OUR COMMUNITY'S KIDS

MEDICARE: REACHING OUR COMMUNITY'S KIDS
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
1104100000XSocial Worker
2101YP1600XPastoral Counselor
3106H00000XMarriage & Family Therapist
41041C0700XClinical Social Worker

General Provider Information

NPI Number : 1952494049
Entity Type Code : Organization
Provider Name (Legal Business Name) : REACHING OUR COMMUNITY'S KIDS
Provider Business Mailing Address
First Line : 51 N PECOS RD
Second Line : SUITE 112
City : LAS VEGAS
State : NV
Zip : 89101-4887
Country : US
Telephone Number : 702-837-3788
Fax Number : 702-438-9729
Provider Business Practice Location Address
First Line : 51 N PECOS RD
Second Line : SUITE 112
City : LAS VEGAS
State : NV
Zip : 89101-4887
Country : US
Telephone Number : 702-837-3788
Fax Number : 702-438-9729
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MRS. KATHLEEN LOVE
Credential : MS/LSW
Telephone Number : 702-837-3788
Provider Enumeration Date : 10/02/2006
Last Update Date : 03/20/2008

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Directions to “REACHING OUR COMMUNITY'S KIDS ” Practice Location

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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.