Provider Demographics
NPI:1871033720
Name:ZENITH WELLNESS CENTER
Entity Type:Organization
Organization Name:ZENITH WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JELEN
Authorized Official - Middle Name:KIMBERLY
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-649-2248
Mailing Address - Street 1:1205 LEONARD AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-2446
Mailing Address - Country:US
Mailing Address - Phone:702-907-3702
Mailing Address - Fax:
Practice Address - Street 1:1205 LEONARD AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-2446
Practice Address - Country:US
Practice Address - Phone:702-907-3702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-26
Last Update Date:2017-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health