| Sanctuary Wellness Llc | |
|
250 Main St Madison NJ 07940-2237 | |
| (973) 314-9040 | |
| Not Available |
| Full Name | Sanctuary Wellness Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 250 Main St, Madison, New Jersey |
| Authorized Official Name and Position | Anita Bobba (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9733149040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Wellness Llc Po Box 658 Chatham NJ 07928-0658 Ph: () - | Sanctuary Wellness Llc 250 Main St Madison NJ 07940-2237 Ph: (973) 314-9040 |
| NPI Number | 1447089545 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447089545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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