Organization
RENEWED MIND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER USIGBE (PRESIDENT)
(702) 497-6187
Entity
Organization
Contact information
Practice address
4170 S DECATUR BLVD, LAS VEGAS, NV 89103-5861
(702) 497-6187
(702) 993-3957
Mailing address
4170 S DECATUR BLVD, LAS VEGAS, NV 89103-5861
(702) 504-7292
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
08/17/2020
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