Organization
180 COMMUNITY WELLNESS CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA L SEVERS LCSW (CEO)
(702) 675-6314
Entity
Organization
Contact information
Practice address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 675-6314
(702) 476-9697
Mailing address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 675-6314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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