Organization
WELLNESS RANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS PETRILLO (CEO)
(978) 440-3200
Entity
Organization
Contact information
Practice address
2015 STONEY POINT ROAD, FRANKLIN, KY 42134-6726
(978) 440-3200
(323) 529-8134
Mailing address
621 NW 53RD ST STE 370, BOCA RATON, FL 33487-8241
(978) 440-3200
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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