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
Update your record
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