NPIMap

Organization Active NPI

360-Wellness Center

Doing business as Safety-Net Therapeutics

  • Substance Abuse Rehabilitation Facility
  • Kettering, OH
National Provider Identifier
1629654140
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
360-WELLNESS CENTER
Doing business as
Safety-Net Therapeutics
Practice address
3008 Sudbury Dr
Kettering, OH 45420-1129
Phone
(937) 310-1269
Fax
(937) 310-1199
NPI assigned
Mar 23, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Anthony A Brown Jr., LICDC
Title
Owner
Phone
(937) 668-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3008 Sudbury Dr
Kettering, OH 45420-1129

Mailing address

2413 Barnett Dr
Bellbrook, OH 45305-1705
Phone (937) 668-6633

Other names 1

  • Safety-Net Therapeutics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
360-Wellness Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1629654140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 BARNETT DR",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453051705",
            "telephone_number": "937-668-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 SUDBURY DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201129",
            "telephone_number": "937-310-1269",
            "fax_number": "937-310-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360-WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-668-6633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LICDC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safety-Net Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.