NPI | 1124585427 |
---|---|
Doing Business As | NEW ENGLAND WELLNESS COLLABORATIVE |
Entity Type | Organization |
Authorized Contact | KRYSTAL VASCONCELOS Director Of Clinical Operations 508-812-0613 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2019-02-23 |
Last Update Date | 2022-04-19 |