Provider Demographics
NPI:1831449370
Name:CLARK COUNTY DEPARTMENT OF FAMILY SERVICES
Entity type:Organization
Organization Name:CLARK COUNTY DEPARTMENT OF FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGEMENT ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EBONI
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-455-5983
Mailing Address - Street 1:121 S MARTIN LUTHER KING BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4309
Mailing Address - Country:US
Mailing Address - Phone:702-455-5983
Mailing Address - Fax:702-382-2004
Practice Address - Street 1:121 S MARTIN LUTHER KING BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4309
Practice Address - Country:US
Practice Address - Phone:702-455-5983
Practice Address - Fax:702-382-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management