| NPI | 1184183683 |
|---|---|
| Doing Business As | TRANSITION WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DIANE E WAHNE Owner 631-493-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |