Provider Demographics
NPI:1659826634
Name:UNITED CITIZENS FOUNDATION
Entity type:Organization
Organization Name:UNITED CITIZENS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRCHANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-280-7203
Mailing Address - Street 1:4485 S BUFFALO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-5006
Mailing Address - Country:US
Mailing Address - Phone:702-772-2440
Mailing Address - Fax:702-722-2891
Practice Address - Street 1:2839 BURNHAM AVE
Practice Address - Street 2:#C-805
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169
Practice Address - Country:US
Practice Address - Phone:702-799-3213
Practice Address - Fax:702-799-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-19
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty