Organization
VIRA WELLNESS CENTER LLC
Active
Other names
Vira Wellness Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESTER JONEAS BS, EDD, CRRA, MCAP (COMPLIANCE DIRECTOR)
(954) 805-0177
Entity
Organization
Contact information
Practice address
1845 N LARRABEE ST APT 204, CHICAGO, IL 60614-5246
(773) 437-0731
Mailing address
1845 N LARRABEE ST APT 204, CHICAGO, IL 60614-5246
(773) 437-0731
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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