| Urban Wellness Center Llc | |
|
36 Russ St Fl 3 Hartford CT 06106-1520 | |
| (860) 292-0030 | |
| Not Available |
| Full Name | Urban Wellness Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 36 Russ St Fl 3, Hartford, Connecticut |
| Authorized Official Name and Position | Destiny Tyson (OWNER) |
| Authorized Official Contact | 8602920030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Wellness Center Llc 36 Russ St Fl 3 Hartford CT 06106-1520 Ph: () - | Urban Wellness Center Llc 36 Russ St Fl 3 Hartford CT 06106-1520 Ph: (860) 292-0030 |
| NPI Number | 1639903123 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639903123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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