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Organization
INDIGO WELLNESS
Active
Organization
INDIGO WELLNESS
Active
Other names
Indigo Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CARTER (OWNER)
(702) 913-3663
Entity
Organization
Contact information
Practice address
4309 SNEAD DR, LAS VEGAS, NV 89107-2070
(702) 913-3663
Mailing address
4309 SNEAD DR, LAS VEGAS, NV 89107-2070
(702) 913-3663
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06012620170
—
NV
Enumeration date
05/02/2019
Last updated
07/12/2019
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