| NPI | 1366742868 |
|---|---|
| Former Legal Business Name | WESTFIELD PSYCHIATRIC WELLNESS CENTER, LLC |
| Former Legal Business Name | LEOPOLD J BOLONA MD LLC |
| Entity Type | Organization |
| Authorized Contact | LEOPOLD JORGE BOLONA Owner 908-233-8065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25ma08702100) |
| Enumeration Date | 2010-10-30 |
| Last Update Date | 2022-05-24 |