Provider Demographics
NPI:1225371115
Name:YOUTH EMPOWERMENT INC.
Entity type:Organization
Organization Name:YOUTH EMPOWERMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC RELATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOVAN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-417-1187
Mailing Address - Street 1:600 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-1904
Mailing Address - Country:US
Mailing Address - Phone:702-463-0110
Mailing Address - Fax:702-463-0166
Practice Address - Street 1:600 NORTH 1ST STREET
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110
Practice Address - Country:US
Practice Address - Phone:702-463-0110
Practice Address - Fax:702-463-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20121719846103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty