| NPI | 1447574710 |
|---|---|
| Doing Business As | MALDEN WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY J DELONG Credentialing Manager 413-222-7711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-06-23 |