| NPI | 1538631445 |
|---|---|
| Doing Business As | THE BEHAVIORAL WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | KATHERINE LONG Credentialing 330-523-7251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |