Wild Wellness Inc. | |
West Stockbridge Town Offices 21 State Line Road West Stockbridge MA 01266-0107 | |
(413) 591-9355 | |
(413) 429-4342 |
Full Name | Wild Wellness Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | West Stockbridge Town Offices, West Stockbridge, Massachusetts |
Authorized Official Name and Position | Eric Krawczyk (OWNER) |
Authorized Official Contact | 4135919355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wild Wellness Inc. Po Box 107 West Stockbridge MA 01266-0107 Ph: (413) 591-9355 | Wild Wellness Inc. West Stockbridge Town Offices 21 State Line Road West Stockbridge MA 01266-0107 Ph: (413) 591-9355 |
NPI Number | 1215799093 |
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Provider Enumeration Date | 01/26/2024 |
Last Update Date | 01/26/2024 |
Certification Date | 01/23/2024 |
Identifier | Type | State | Issuer |
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1215799093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |