NPI | 1609495134 |
---|---|
Doing Business As | MENTALWELLNESSMD |
Entity Type | Organization |
Authorized Contact | THOMAS BROWN Sole Member 860-698-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2020-04-14 |
Last Update Date | 2021-10-12 |