Organization
WHOLISTIC RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCIA CAROL MATTHEW CPC-INTERN (THERAPIST)
(707) 981-0289
Entity
Organization
Contact information
Practice address
2580 N RANCHO DR STE 105, LAS VEGAS, NV 89130-3361
(702) 981-0289
Mailing address
2580 N RANCHO DR STE 105, LAS VEGAS, NV 89130-3361
(702) 981-0289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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