City Blocks Wellness Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CITY BLOCKS WELLNESS CENTER, INC

Practice address

300 Broad St
Selma, AL 36701-4556

Phone

(334) 431-5352

Fax

(334) 431-5352

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rose Irby Wilkins, PH.D.

Title

President/Ceo

Phone

(470) 836-5406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1992562532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014556",
            "telephone_number": "470-836-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014556",
            "telephone_number": "334-431-5352",
            "fax_number": "334-431-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY BLOCKS WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "IRBY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "470-836-5406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Selma, AL
• Providers in Selma, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.