| Organization Name: | WELLSPRING CENTER FOR HEALTH AND WELLBEING, LLC |
| NPI Number: | 1043472301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CANDICE KNIGHT (DIRECTOR) |
| Mailing Address: | 83 Park Ave Flemington |
| State: | NJ US |
| Postal Code: | 088221128 |
| Phone Number: | 9087821727 |
| Fax Number: | 9082371847 |
| NPI Enumeration Date: | 06/27/2008 |
| NPI Last Update Date: | 06/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |