NPI | 1366821316 |
---|---|
Doing Business As | ADVANCE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | ELIZABETH GAMBOA CAZARES Administrator 702-834-6560 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: NV NV20151325001) |
Additional Taxonomies | 251B00000X Case Management |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
374U00000X Home Health Aide | |
Enumeration Date | 2015-05-23 |
Last Update Date | 2019-06-26 |