Integrated Wellness Group, Llc

NPI 1003096744 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1003096744
Enumeration Date 11/09/2007
Last Updated 09/09/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MAYSA MAYSA
Position EXECUTIVE DIRECTOR
Phone (203) 387-9400
Fax (888) 772-2160
Practice Location
446A BLAKE STREET
SUITE 200
NEW HAVEN CT, 06515-2216, US
Phone (203) 387-9400
Fax (888) 772-2160
Business Location
446A BLAKE ST
SUITE 200
NEW HAVEN CT, 06515-1286, US
Phone (203) 387-9400
Fax (888) 772-2160
Toxanomy
Taxonomy Code 106H00000X
License State
License Number
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According to our database, Integrated Wellness Group, Llc NPI is 1003096744, taxonomy code is 106H00000X Integrated Wellness Group, Llc physically located at 446a Blake Street, New Haven CT, 06515-2216. NPI Number 1033115704 has the healthcare provider type.

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1003096744 NPI number is provided on an as is basis without warranty of any kind. 1003096744 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Wellness Group, Llc are for informational purposes only.