Organization
INTELLECTUAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSALIE HAMBERSON (OWNER)
(702) 551-1555
Entity
Organization
Contact information
Practice address
3450 E RUSSELL RD STE 208, LAS VEGAS, NV 89120-2201
(702) 551-1555
Mailing address
3450 E RUSSELL RD STE 208, LAS VEGAS, NV 89120-2201
(702) 551-1555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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