Provider Demographics
NPI:1023371184
Name:CLARK COUNTY JUVENILE JUSTICE SERVICES
Entity Type:Organization
Organization Name:CLARK COUNTY JUVENILE JUSTICE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER CLINICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-455-5226
Mailing Address - Street 1:601 N PECOS RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-2408
Mailing Address - Country:US
Mailing Address - Phone:702-455-5210
Mailing Address - Fax:702-455-5216
Practice Address - Street 1:601 N PECOS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2408
Practice Address - Country:US
Practice Address - Phone:702-455-5210
Practice Address - Fax:702-455-5216
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLARK COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty