Organization
WEBSTER''S COACH, LLC
Active
Parent organization
NEW DAWN INTEGRATED BEHAVIORAL HEALTH CENTER INC.
Other names
Sheila R. Wells, Bruce E. Wells II, Tiffany U. Wells, Bruce E. Wells I
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW DAWN INTEGRATED BEHAVIORAL HEALTH CENTER INC.
Authorized official
MR. BRUCE EDWARD WELLS II MHA (VICE PRESIDENT)
(774) 200-1786
Entity
Organization
Contact information
Practice address
33 ELECTRIC AVE, FITCHBURG, MA 01420-7954
(978) 627-3929
Mailing address
33 ELECTRIC AVE STE B03, FITCHBURG, MA 01420-7954
(978) 627-3929
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477517407
—
MA
Enumeration date
11/09/2017
Last updated
06/16/2018
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