DEEP RIVER WELLNESS NPI 1558696211

NPI Information

DEEP RIVER WELLNESS is a professional counselor in Deep River, CT. DEEP RIVER WELLNESS NPI is 1558696211. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

144 MAIN ST
DEEP RIVER, CT
ZIP 06417-727
Phone: (860) 526-5450

The provider's authorized official is Stephen Paschall .
The authorized official title is Director and has the following contact phone number (860) 526-5450.

The enumeration date for this NPI number is 10/13/2009 and was last updated on 10/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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