NPI | 1659302750 |
---|---|
Doing Business As | THE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | SEAN TOMAR HUBBARD Specialist 856-275-7688 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: NJ 25MB07214800) |
Additional Taxonomies | 305S00000X Point of Service (Licence: NJ 25MA07709400) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2011-07-26 |