| Professional Wellness Center | |
|
1100 S. Main Executive Suites Las Cruces NM 88005-2917 | |
| (575) 525-5635 | |
| (575) 647-8804 |
| Full Name | Professional Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1100 S. Main Executive Suites, Las Cruces, New Mexico |
| Authorized Official Name and Position | Dimitris Kollaros (GENERAL PARTNER) |
| Authorized Official Contact | 5756403537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Wellness Center 1100 S. Main Executive Suites Las Cruces NM 88005-2917 Ph: (575) 525-5635 | Professional Wellness Center 1100 S. Main Executive Suites Las Cruces NM 88005-2917 Ph: (575) 525-5635 |
| NPI Number | 1306071139 |
|---|---|
| Provider Enumeration Date | 05/22/2009 |
| Last Update Date | 05/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306071139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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