| NPI | 1528609799 |
|---|---|
| Doing Business As | WELLBRIDGE |
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES LENAHAN Project Manager 631-205-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-06-01 |