| NPI | 1790508372 |
|---|---|
| Doing Business As | LONGBRANCH WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | EMILY ELIZABETH MEYERS CEO 920-309-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |