| NPI | 1871308551 |
|---|---|
| Former Legal Business Name | M & T WELLNESS FUSION SERVICE LLC |
| Entity Type | Organization |
| Authorized Contact | MONET DUCKETT CFO 800-671-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |