| NPI | 1275254567 |
|---|---|
| Doing Business As | KEANSBURG WELLNESS CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PALMIERI CEO 917-525-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |