| Origins Wellness Group | |
|
1029 North Rd Westfield MA 01085-9711 | |
| (347) 949-1044 | |
| Not Available |
| Full Name | Origins Wellness Group |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1029 North Rd, Westfield, Massachusetts |
| Authorized Official Name and Position | David Mancuso (OWNER) |
| Authorized Official Contact | 3479491044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origins Wellness Group 1029 North Rd Westfield MA 01085-9711 Ph: (347) 949-1044 | Origins Wellness Group 1029 North Rd Westfield MA 01085-9711 Ph: (347) 949-1044 |
| NPI Number | 1588372320 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588372320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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