Pure Abundant Wellness Center
NPI #1932564481 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1932564481
- Entity Type
- Organization
- Organization Name
- Pure Abundant Wellness Center
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 29, 2015
- Last Updated
- Dec 29, 2015
Practice Location
- Address
- 20200 GOVERNORS DR
- Address 2
- SUITE 107
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1032
- Phone
- (708) 560-1235
Authorized Official
- Name
- LISA WALLACE, EDD
- Title
- CEO
- Phone
- (708) 560-1235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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