Provider / Organization | NPI | Date Certified |
---|---|---|
WILDER WELLNESS | 1861243065 | 2024-11-10 |
The organization Wilder Wellness is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1861243065. Registration indicates Wilder Wellness is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )
Code | Practice | License No State |
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261QM0801X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Mental Health (Including Community Mental Health Center), Community Mental Health Center Clinic/Center Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities Clinic/Center |