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Organization
WELLCROSS BEHAVIORAL, PLLC
Active
Organization
WELLCROSS BEHAVIORAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERITA CHANG (COO)
(954) 993-2040
Entity
Organization
Contact information
Practice address
665 MAIN ST, WALTHAM, MA 02451-0602
(954) 993-2040
(954) 990-6305
Mailing address
3600 RED RD STE 606B, MIRAMAR, FL 33025-6016
(954) 993-2040
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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