Wheeler Clinic
Case Management in New Haven, CT. Organization (NPI-2).
NPI number1700320629
StatusActive
Last updated in NPPESDec 12, 2016
Details
- NPI
- 1700320629
- Entity type
- Organization (NPI-2)
- Legal business name
- Wheeler Clinic
- Organization subpart
- No
- Enumeration date
- Dec 12, 2016
- Last updated
- Dec 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | CT | Yes |
Practice location
458 Grand AveNew Haven, CT 06513-3856
Phone 203-752-1212
Mailing address
115 Wood Ave Fl 3Bridgeport, CT 06605-1046
Phone 203-584-5717
Authorized official
Wanda Ivette Lopez
Case Manager IV
8607937241
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