NPI 1275292104
180 Community Wellness Centers, LLC
Practice location
- Address
- 4344 W Cheyenne Ave, North Las Vegas, NV 89032-2484
- Phone
- (702) 675-6314
Authorised official
- Name
- Ericka L Severs
- Title
- Ceo
- Phone
- (702) 675-6314
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1275292104
- Entity type
- Organization
- NPI issued
- 8 Dec 2021
- Record last updated
- 8 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.