NPI | 1720594898 |
---|---|
Doing Business As | MENTAL WELLNESS CENTER LLC |
Entity Type | Organization |
Authorized Contact | SAMUEL MALDONADO President 201-364-8474 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-12-27 |
Last Update Date | 2017-12-27 |