Organization
WELLNESS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARIE RIERSON (MANAGER)
(803) 608-2461
Entity
Organization
Contact information
Practice address
104 RIVERWALK WAY, IRMO, SC 29063-9321
(803) 608-2461
Mailing address
9850 S MARYLAND PKWY # 5-371, LAS VEGAS, NV 89183-7146
(702) 517-7914
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
12/06/2024
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