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Organization

CENTER OF WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL HENDERSON (CEO)
(513) 370-4226
Entity
Organization

Contact information

Practice address
1095 NIMITZVIEW DR, SUITE 101, CINCINNATI, OH 45230-4392
(513) 370-4226
(513) 672-2293
Mailing address
1095 NIMITZVIEW DR, SUITE 101, CINCINNATI, OH 45230-4392
(513) 370-4226
(513) 672-2293

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
130029
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351061201
TX
Enumeration date
05/11/2017
Last updated
05/11/2017
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