| The Wholeness Center, Llc | |
|
370 Oak St Ste C Brockton MA 02301-1303 | |
| (508) 580-3800 | |
| (508) 580-3805 |
| Full Name | The Wholeness Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 370 Oak St Ste C, Brockton, Massachusetts |
| Authorized Official Name and Position | Sandra Garcon (OWNER) |
| Authorized Official Contact | 5085803800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wholeness Center, Llc 1367 Main St Brockton MA 02301-7111 Ph: (508) 580-3800 | The Wholeness Center, Llc 370 Oak St Ste C Brockton MA 02301-1303 Ph: (508) 580-3800 |
| NPI Number | 1265834766 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 04/28/2020 |
| Certification Date | 04/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265834766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | S50130595 (Massachusetts) | Secondary |
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