| Cc Youth Empowerment Services | |
|
8070 W Russell Rd Apt 1065 Las Vegas NV 89113-1549 | |
| (702) 610-4153 | |
| Not Available |
| Full Name | Cc Youth Empowerment Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8070 W Russell Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Bonito Sahagun (PRESIDENT) |
| Authorized Official Contact | 7026104153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cc Youth Empowerment Services 8070 W Russell Rd Apt 1065 Las Vegas NV 89113-1549 Ph: (702) 610-4153 | Cc Youth Empowerment Services 8070 W Russell Rd Apt 1065 Las Vegas NV 89113-1549 Ph: (702) 610-4153 |
| NPI Number | 1003109802 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003109802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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