Organization
180 COMMUNITY WELLNESS CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICKA L SEVERS LCSW (CEO)
(702) 675-6314
Entity
Organization
Contact information
Practice address
3435 W. CRAIG ROAD, SUITE A, NORTH LAS VEGAS, NV 89032-5116
(702) 675-6314
(702) 476-9697
Mailing address
3435 W. CRAIG ROAD, SUITE A, NORTH LAS VEGAS, NV 89032-5116
(702) 675-6314
(702) 476-9697
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5901-C
NV
Other
Enumeration date
09/20/2012
Last updated
12/08/2021
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