Organization
FAMILY FIRST WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE BRADSHAW-RANSOM (DIRECTOR)
(702) 884-0233
Entity
Organization
Contact information
Practice address
1011 VILLA GROVE AVE, NORTH LAS VEGAS, NV 89030-4706
(702) 626-0015
Mailing address
304 S JONES BLVD # 7115, LAS VEGAS, NV 89107-2623
(702) 884-0233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20191241196
BUSINESS IDENIFIVATION NUMBER
NV
Enumeration date
03/15/2021
Last updated
03/15/2021
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