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Organization
OPTWELL HEALTH SERVICES
Active
Organization
OPTWELL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN POWELL (APN)
(856) 304-4767
Entity
Organization
Contact information
Practice address
2 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1294
(856) 304-4767
Mailing address
233 WASHINGTON TER, AUDUBON, NJ 08106-1627
(856) 304-4767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/30/2024
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