Provider Demographics
NPI:1265826044
Name:SAFE EMBRACE
Entity Type:Organization
Organization Name:SAFE EMBRACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:SUSANNE
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:775-342-8115
Mailing Address - Street 1:780 E LINCOLN WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-5326
Mailing Address - Country:US
Mailing Address - Phone:775-322-3466
Mailing Address - Fax:775-322-3466
Practice Address - Street 1:780 E LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-5326
Practice Address - Country:US
Practice Address - Phone:775-322-3466
Practice Address - Fax:775-322-3466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty