Organization Name: | WELL SPRING BEHAVIORAL HEALTH, LLC |
NPI Number: | 1083933121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE WELZER (SOLE PROPRIETOR) |
Mailing Address: | 171 Woodport Rd 2nd Floor Sparta |
State: | NJ US |
Postal Code: | 078712633 |
Phone Number: | 2013173768 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 05/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SCO5179400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |