| Rooted In Resilience Wellness Collective, Llc | |
|
500 Westgate Dr # 1142 Brockton MA 02301-1855 | |
| (617) 297-7637 | |
| Not Available |
| Full Name | Rooted In Resilience Wellness Collective, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 500 Westgate Dr # 1142, Brockton, Massachusetts |
| Authorized Official Name and Position | Ndia Olivier (SOCIAL WORKER) |
| Authorized Official Contact | 6172977637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted In Resilience Wellness Collective, Llc 500 Westgate Dr # 1142 Brockton MA 02301-1855 Ph: (617) 297-7637 | Rooted In Resilience Wellness Collective, Llc 500 Westgate Dr # 1142 Brockton MA 02301-1855 Ph: (617) 297-7637 |
| NPI Number | 1699525949 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699525949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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