Provider Demographics
NPI:1881019552
Name:INTOUCH COMMUNITY CENTER
Entity Type:Organization
Organization Name:INTOUCH COMMUNITY CENTER
Other - Org Name:COMMUNITY HEALTH, EMPOWERMENT AND SUPPORT SERVICES (C.H.E.S.S)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT-FAIRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-324-8141
Mailing Address - Street 1:2620 TIMID TIGER AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086
Mailing Address - Country:US
Mailing Address - Phone:702-518-1487
Mailing Address - Fax:702-942-4171
Practice Address - Street 1:3940 MARTIN LUTHER KING 100 B
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032
Practice Address - Country:US
Practice Address - Phone:702-518-1487
Practice Address - Fax:702-942-4171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty