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WATERTOWN WELLNESS CENTER LLC

Professional

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Contact Information

WATERTOWN WELLNESS CENTER LLC
116 GEORGETOWN DRIVE
WATERTOWN, CT  06795
 Phone: 203-592-7898
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Professional

 101YP2500X
 

Community/Behavioral Health

 251S00000X
Indicates primary specialty

NPI Profile & details for WATERTOWN WELLNESS CENTER LLC

NPI # 1396232187
LBN Legal business name WATERTOWN WELLNESS CENTER LLC
Authorized official LAURA MANDERINO - (OWNER/LICENSED PSYCHOTHERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2018
Last updated 04/17/2018 - About 8 years ago
Identifiers
CT License # 003013
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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