Provider Demographics
NPI:1992135974
Name:AFA FAMILY SERVICES
Entity type:Organization
Organization Name:AFA FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKEETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-683-4191
Mailing Address - Street 1:7322 WILD ROAR AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6063
Mailing Address - Country:US
Mailing Address - Phone:702-683-4191
Mailing Address - Fax:
Practice Address - Street 1:7322 WILD ROAR AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6063
Practice Address - Country:US
Practice Address - Phone:702-683-4191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty