Provider Demographics
NPI:1154755262
Name:NEIGHBORHOOD FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:NEIGHBORHOOD FAMILY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O. /OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIA
Authorized Official - Middle Name:CAMILLE
Authorized Official - Last Name:VAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-560-1898
Mailing Address - Street 1:2421 TECH CENTER COURT
Mailing Address - Street 2:STE.108
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-560-1898
Mailing Address - Fax:702-974-1521
Practice Address - Street 1:2421 TECH CENTER COURT
Practice Address - Street 2:STE.108
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-560-1898
Practice Address - Fax:702-974-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health