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Organization
ORIGINS WELLNESS GROUP
Active
Organization
ORIGINS WELLNESS GROUP
Active
Other names
Origins Wellness Group, David Mancuso Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MANCUSO LICSW (OWNER)
(347) 949-1044
Entity
Organization
Contact information
Practice address
1029 NORTH RD, WESTFIELD, MA 01085-9711
(347) 949-1044
Mailing address
1029 NORTH RD, WESTFIELD, MA 01085-9711
(347) 949-1044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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