Organization
NUWAVE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY WHITMORE (PRESIDENT)
(805) 450-0171
Entity
Organization
Contact information
Practice address
30700 RUSSELL RANCH RD STE 250, WESTLAKE VILLAGE, CA 91362-9507
(805) 450-0171
Mailing address
30700 RUSSELL RANCH RD STE 250, WESTLAKE VILLAGE, CA 91362-9507
(805) 450-0171
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
11/20/2024
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