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Organization

180 COMMUNITY WELLNESS CENTERS, LLC

Active
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Organization

180 COMMUNITY WELLNESS CENTERS, LLC

Active
Parent organization
180 COMMUNITY WELLNESS CENTERS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
180 COMMUNITY WELLNESS CENTERS, LLC
Authorized official
ERICKA L SEVERS (CEO)
(702) 675-6314
Entity
Organization

Contact information

Practice address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 675-6314
Mailing address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 675-6314

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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