| Cultivate Wellness Llc | |
|
108 S Kent Rd South Kent CT 06785-1112 | |
| (203) 218-8788 | |
| Not Available |
| Full Name | Cultivate Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 108 S Kent Rd, South Kent, Connecticut |
| Authorized Official Name and Position | Clara Burlinson (MANAGER) |
| Authorized Official Contact | 2032188788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate Wellness Llc 108 S Kent Rd South Kent CT 06785-1112 Ph: (203) 218-8788 | Cultivate Wellness Llc 108 S Kent Rd South Kent CT 06785-1112 Ph: (203) 218-8788 |
| NPI Number | 1689332983 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 12/03/2021 |
| Certification Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689332983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |