| NPI | 1104398312 |
|---|---|
| Doing Business As | THE BEHAVIORAL WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | KATHERINE LONG Credentialing 440-392-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |