Provider Demographics
NPI:1942600200
Name:SAFE SANCTUARIES FOR CHILDREN AND YOUTH
Entity Type:Organization
Organization Name:SAFE SANCTUARIES FOR CHILDREN AND YOUTH
Other - Org Name:WOMAN TO WOMAN FAMILY ENRICHMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-706-4902
Mailing Address - Street 1:5840 W CRAIG RD STE 120-373
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-2561
Mailing Address - Country:US
Mailing Address - Phone:702-706-4902
Mailing Address - Fax:
Practice Address - Street 1:6272 HIGHLAND GARDENS DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2074
Practice Address - Country:US
Practice Address - Phone:702-706-4902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-23
Last Update Date:2014-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20131576900225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty