| Provive Wellness Of Wayne | |
|
489 Devon Park Dr Ste 306 Wayne PA 19087-1809 | |
| (610) 947-0800 | |
| (610) 756-2050 |
| Full Name | Provive Wellness Of Wayne |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 489 Devon Park Dr Ste 306, Wayne, Pennsylvania |
| Authorized Official Name and Position | Mayer Weber (PARTNER) |
| Authorized Official Contact | 3473741767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provive Wellness Of Wayne 15 Perlman Dr Ste 120 Spring Valley NY 10977-5281 Ph: () - | Provive Wellness Of Wayne 489 Devon Park Dr Ste 306 Wayne PA 19087-1809 Ph: (610) 947-0800 |
| NPI Number | 1508549155 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 11/03/2024 |
| Certification Date | 11/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508549155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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