Northeast Wellness Group Llc

NPI Provider: 1861733941
Contact Name: RILEY JOE
Position: OWNER
Phone: (774) 269-4700

Northeast Wellness Group Llc Information:

Northeast Wellness Group Llc organization have npi 1861733941, taxonomy code is 103TP2701X with license number is in . This Business address located in 449 FOREST AVE STE 14, PORTLAND, ME 41012 Maine.

Practice Location
Address: 449 FOREST AVE, PORTLAND, ME 41012
Phone: (774) 269-4700

Business Location
Address: 449 FOREST AVE STE 14, PORTLAND, ME 41012
Phone: (774) 269-4700
Fax: (855) 286-8192

Taxonomy

Taxonomy Code: 103TP2701X

License Number:

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 3/14/13

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