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Organization

GLC WELLNESS CENTER HEALTH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY GRIFFIN (ADMINISTRATOR)
(312) 730-4355
Entity
Organization

Contact information

Practice address
400 S 4TH ST STE 300, LAS VEGAS, NV 89101-6206
(877) 767-1692
Mailing address
PO BOX 3543, OAK BROOK, IL 60522-3543
(877) 767-1692

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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