Origins Wellness Group | |
1029 North Rd Westfield MA 01085-9711 | |
(347) 949-1044 | |
Not Available |
Full Name | Origins Wellness Group |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1029 North Rd, Westfield, Massachusetts |
Authorized Official Name and Position | David Mancuso (OWNER) |
Authorized Official Contact | 3479491044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Origins Wellness Group 1029 North Rd Westfield MA 01085-9711 Ph: (347) 949-1044 | Origins Wellness Group 1029 North Rd Westfield MA 01085-9711 Ph: (347) 949-1044 |
NPI Number | 1588372320 |
---|---|
Provider Enumeration Date | 11/10/2022 |
Last Update Date | 11/10/2022 |
Certification Date | 11/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588372320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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