Organization
PWP HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA STONE (CO-OWNER)
(434) 608-2618
Entity
Organization
Contact information
Practice address
2930 WEST GRAND AVE, CHICAGO, IL 60622
(872) 817-9858
(773) 661-6993
Mailing address
621 BROAD ST, ALTAVISTA, VA 24517-1855
(434) 608-2618
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/26/2021
Last updated
11/25/2022
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