| Elemental Wellness Center | |
|
121 Lincoln St Worcester MA 01605-2429 | |
| (508) 926-8008 | |
| Not Available |
| Full Name | Elemental Wellness Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 121 Lincoln St, Worcester, Massachusetts |
| Authorized Official Name and Position | George Gachuma (MANAGER) |
| Authorized Official Contact | 5089268008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Wellness Center 121 Lincoln St Worcester MA 01605-2429 Ph: (508) 926-8008 | Elemental Wellness Center 121 Lincoln St Worcester MA 01605-2429 Ph: (508) 926-8008 |
| NPI Number | 1497477731 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497477731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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