# ELAN WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1336526482
- **Authorized official:** MICHAEL SHEEHAN (ADMINISTRATOR)
- **Authorized official phone:** (774) 992-7916

## Contact information

- **Practice address:** 67 BRIGHAM ST, NEW BEDFORD, MA 02740-2211
- **Practice address phone:** (774) 992-7916
- **Mailing address:** 67 BRIGHAM ST, NEW BEDFORD, MA 02740-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 001167140 | MA | Yes |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 04/28/2015