Organization
360-WELLNESS CENTER
Active
Other names
Safety-Net Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ALLEN BROWN JR. (OWENER)
(937) 529-1169
Entity
Organization
Contact information
Practice address
4752 FISHBURG RD, HUBER HEIGHTS, OH 45424-5455
(937) 529-1169
Mailing address
4752 FISHBURG RD, HUBER HEIGHTS, OH 45424-5455
(937) 529-1169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790201325
—
OH
Enumeration date
10/29/2019
Last updated
10/29/2019
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