Organization
LIFE COUNSELING AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL EDWARD PALOMO LADC, ICADC, AA (OWNER/SUBSTANCE USE COUNSELOR)
(308) 631-9357
Entity
Organization
Contact information
Practice address
1516 21ST AVE, SCOTTSBLUFF, NE 69361-2736
(308) 631-9357
Mailing address
1516 21ST AVE, SCOTTSBLUFF, NE 69361-2736
(308) 631-9357
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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