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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1235756065 |
| LBN Legal business name | 180 URBAN WELLNESS, LLC |
| Authorized official | KELIA MURRAY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/27/2020 |
| Last updated | 06/27/2020 - About 6 years ago |
| Identifiers | n/a |
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180 URBAN WELLNESS, LLC
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180 URBAN WELLNESS, LLC