| Organization Name: | APPALACHIAN WELLNESS CENTER |
| NPI Number: | 1467872945 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA DAWN NORRIS (OWNWR) |
| Mailing Address: | 90 Main St Westernport |
| State: | MD US |
| Postal Code: | 215621437 |
| Phone Number: | 3018763475 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2014 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | LC1915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |