| Rewilding Wellness Llc | |
|
455 State Rd # 397 Vineyard Haven MA 02568-5695 | |
| (508) 444-9229 | |
| Not Available |
| Full Name | Rewilding Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 455 State Rd # 397, Vineyard Haven, Massachusetts |
| Authorized Official Name and Position | Gabrielle Chudnow (FOUNDER) |
| Authorized Official Contact | 5084449229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rewilding Wellness Llc 455 State Rd # 397 Vineyard Haven MA 02568-5695 Ph: (508) 444-9229 | Rewilding Wellness Llc 455 State Rd # 397 Vineyard Haven MA 02568-5695 Ph: (508) 444-9229 |
| NPI Number | 1447979828 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447979828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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