Provider Demographics
NPI:1952494049
Name:REACHING OUR COMMUNITY'S KIDS
Entity Type:Organization
Organization Name:REACHING OUR COMMUNITY'S KIDS
Other - Org Name:R.O.C.K.
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:MS/LSW
Authorized Official - Phone:702-837-3788
Mailing Address - Street 1:51 N PECOS RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-4887
Mailing Address - Country:US
Mailing Address - Phone:702-837-3788
Mailing Address - Fax:702-438-9729
Practice Address - Street 1:51 N PECOS RD
Practice Address - Street 2:SUITE 112
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-4887
Practice Address - Country:US
Practice Address - Phone:702-837-3788
Practice Address - Fax:702-438-9729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty