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Organization
WALL THERAPEUTIC SOLUTIONS, LLC
Active
Organization
WALL THERAPEUTIC SOLUTIONS, LLC
Active
Other names
Wall Therapeutic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ROSENBAUM (TREASURER)
(540) 285-0423
Entity
Organization
Contact information
Practice address
405 YORKSHIRE ST, SALEM, VA 24153-7016
(540) 387-4517
(540) 579-0414
Mailing address
405 YORKSHIRE ST, SALEM, VA 24153-7016
(540) 387-4517
(540) 579-0414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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