180 Community Wellness Centers, LLC
Foster Care Agency in North Las Vegas, NV. Organization (NPI-2).
NPI number1275292104
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1275292104
- Entity type
- Organization (NPI-2)
- Legal business name
- 180 Community Wellness Centers, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 8, 2021
- Certification date
- Dec 8, 2021
- Last updated
- Dec 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | – | Yes |
Practice location
4344 W Cheyenne AveNorth Las Vegas, NV 89032-2484
Phone 702-675-6314
Mailing address
4344 W Cheyenne AveNorth Las Vegas, NV 89032-2484
Phone 702-675-6314
Authorized official
Ericka L Severs
Ceo
7026756314
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