Organization · NPI-2

Cultural Society Of Wellness LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Savannah, GA

NPI number1720669138
StatusActive
Last updated in NPPESApr 16, 2021

Details

NPI
1720669138
Entity type
Organization (NPI-2)
Legal business name
Cultural Society Of Wellness LLC
Organization subpart
No
Enumeration date
Apr 16, 2021
Certification date
Apr 16, 2021
Last updated
Apr 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

9002 Harmon Bluff Rd
Savannah, GA 31406-5925

Phone 912-777-8311

Mailing address

9002 Harmon Bluff Rd
Savannah, GA 31406-5925

Phone 912-777-8311

Authorized official

Tihera Shanell Clements
Owner/Operator
9127778311

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