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Organization

COMPLETE WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICAROL COPELAND (MANAGING MEMBER)
(901) 542-8646
Entity
Organization

Contact information

Practice address
803 MOUNT MORIAH RD STE 105, MEMPHIS, TN 38117-5343
(901) 542-8646
Mailing address
803 MOUNT MORIAH RD STE 105, MEMPHIS, TN 38117-5343
(901) 542-8646

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
08/02/2024
Last updated
08/02/2024
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