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Organization
PAHRUMP'S DIVERSIFIED WELLNESS CENTER LLC
Active
Organization
PAHRUMP'S DIVERSIFIED WELLNESS CENTER LLC
Active
Other names
Pahrump's Diversified Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AKILAH BENNETT (OWNER)
(702) 919-9210
Entity
Organization
Contact information
Practice address
2780 HOMESTEAD RD, PAHRUMP, NV 89048-5399
(702) 818-3138
Mailing address
2780 HOMESTEAD RD, PAHRUMP, NV 89048-5399
(702) 818-3138
(702) 818-4142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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