| NPI | 1124865654 |
|---|---|
| Doing Business As | WELLNESS GROVE |
| Entity Type | Organization |
| Authorized Contact | SHAUN SWIGER Chief Information Officer 330-915-2907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 221700000X Art Therapist | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-08-23 |