| 180 Community Wellness Centers, Llc | |
|
3435 W. Craig Road Suite A North Las Vegas NV 89032-5116 | |
| (702) 675-6314 | |
| (702) 476-9697 |
| Full Name | 180 Community Wellness Centers, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3435 W. Craig Road, North Las Vegas, Nevada |
| Authorized Official Name and Position | Ericka L Severs (CEO) |
| Authorized Official Contact | 7026756314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 180 Community Wellness Centers, Llc 3435 W. Craig Road Suite A North Las Vegas NV 89032-5116 Ph: (702) 675-6314 | 180 Community Wellness Centers, Llc 3435 W. Craig Road Suite A North Las Vegas NV 89032-5116 Ph: (702) 675-6314 |
| NPI Number | 1841541620 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841541620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5901-C (Nevada) | Primary |
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