Organization
ONE HUNDRED PERCENT WELL LLC
Active
Other names
OPW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REESE LAMOUNTE THOMAS-MCDADE I BSW (CHIEF EXECUTIVE OFFICER)
(702) 275-5190
Entity
Organization
Contact information
Practice address
2881 S VALLEY VIEW BLVD, SUITE #25, LAS VEGAS, NV 89102-0100
(702) 275-5190
(702) 430-1265
Mailing address
4559 SPARWOOD DR, LAS VEGAS, NV 89147-8212
(702) 275-5190
(702) 430-1265
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
NV
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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