Provider Demographics
NPI:1194003269
Name:SOZO FAMILY SERVICES INC.
Entity Type:Organization
Organization Name:SOZO FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-744-7696
Mailing Address - Street 1:1445 AMERICAN PACIFIC DR # 110-301
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7402
Mailing Address - Country:US
Mailing Address - Phone:702-744-7696
Mailing Address - Fax:
Practice Address - Street 1:1445 AMERICAN PACIFIC DR # 110-301
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7402
Practice Address - Country:US
Practice Address - Phone:702-744-7696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-23
Last Update Date:2011-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health