180 Community Wellness Centers, LLC

NPI #1497475610 in North Las Vegas, Nevada

Provider Information

NPI Number: 1497475610
Entity Type: Organization
Organization Name: 180 Community Wellness Centers, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 29, 2022
Last Updated: Aug 29, 2022

Practice Location

Address: 4344 W CHEYENNE AVE
City: North Las Vegas
State: Nevada
ZIP Code: 89032-2484
Phone: (702) 675-6314

Authorized Official

Name: ERICKA L SEVERS, LCSW
Title: CEO
Phone: (702) 675-6314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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