Provider Demographics
NPI:1356644686
Name:UNITY FAMILY SERVICES
Entity Type:Organization
Organization Name:UNITY FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-633-7570
Mailing Address - Street 1:2455 W CHEYENNE AVE
Mailing Address - Street 2:140
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-4325
Mailing Address - Country:US
Mailing Address - Phone:702-646-7570
Mailing Address - Fax:
Practice Address - Street 1:2455 W CHEYENNE AVE
Practice Address - Street 2:140
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-4325
Practice Address - Country:US
Practice Address - Phone:702-646-7570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health