Organization
PAHRUMP'S DIVERSIFIED WELLNESS CENTER LLC
Active
Other names
Pahrump's Diversified Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AKILAH BENNETT (OWNER)
(702) 919-9210
Entity
Organization
Contact information
Practice address
2780 HOMESTEAD RD, PAHRUMP, NV 89048-5399
(702) 818-3138
Mailing address
2780 HOMESTEAD RD, PAHRUMP, NV 89048-5399
(702) 818-3138
(702) 818-4142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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