Wellnite Medical Group PA
Psychiatry & Neurology, Psychiatry in Portland, ME. Organization (NPI-2).
NPI number1710690581
StatusActive
Last updated in NPPESDec 27, 2022
Details
- NPI
- 1710690581
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellnite Medical Group PA
- Organization subpart
- No
- Enumeration date
- Dec 27, 2022
- Certification date
- Dec 27, 2022
- Last updated
- Dec 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
63 Federal StPortland, ME 04101-4222
Phone 877-677-6008
Mailing address
2261 Market St # 4058San Francisco, CA 94114-1612
Authorized official
Amy Halanski
President
8776446008
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