180 Community Wellness Centers, LLC
Community/Behavioral Health in North Las Vegas, NV. Organization (NPI-2).
NPI number1841541620
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1841541620
- Entity type
- Organization (NPI-2)
- Legal business name
- 180 Community Wellness Centers, LLC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2012
- Certification date
- Dec 8, 2021
- Last updated
- Dec 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 5901-c | NV | Yes |
Practice location
3435 W. Craig RoadSuite A
North Las Vegas, NV 89032-5116
Phone 702-675-6314 · Fax 702-476-9697
Mailing address
3435 W. Craig RoadSuite A
North Las Vegas, NV 89032-5116
Phone 702-675-6314 · Fax 702-476-9697
Authorized official
Ericka L Severs
Ceo
7026756314
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