| Integrated Wellness Management Inc | |
|
50 Lake Ave Worcester MA 01604-1168 | |
| (508) 361-3735 | |
| Not Available |
| Full Name | Integrated Wellness Management Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 50 Lake Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Nathan Peterson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5083613735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wellness Management Inc 50 Lake Ave Worcester MA 01604-1168 Ph: (508) 361-3735 | Integrated Wellness Management Inc 50 Lake Ave Worcester MA 01604-1168 Ph: (508) 361-3735 |
| NPI Number | 1508214545 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508214545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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