| 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 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |