| Rooted Wellness Llc | |
|
228 Almont St Mattapan MA 02126-1487 | |
| (857) 204-7067 | |
| Not Available |
| Full Name | Rooted Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 228 Almont St, Mattapan, Massachusetts |
| Authorized Official Name and Position | Courtney Villon-maga (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 8572047067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Wellness Llc 228 Almont St Mattapan MA 02126-1487 Ph: (857) 204-7067 | Rooted Wellness Llc 228 Almont St Mattapan MA 02126-1487 Ph: (857) 204-7067 |
| NPI Number | 1619552411 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619552411 | NPI | - | NPPES |
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