# CLM WELLNESS CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013250299
- **Authorized official:** MRS. CHRISTA LOUISE MURPHY LCSW (THERAPIST)
- **Authorized official phone:** (718) 213-5635

## Contact information

- **Practice address:** 5-31 50 TH AVE, LIC, NY 11101
- **Practice address phone:** (718) 213-5635
- **Practice address fax:** (718) 472-2733
- **Mailing address:** 5-31 50 TH AVE, LIC, NY 11101
- **Mailing address phone:** (718) 213-5635
- **Mailing address fax:** (718) 472-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 076563 | NY | Yes |

## Other

- **Enumeration date:** 04/05/2013
- **Last updated:** 04/05/2013