Organization
RESONANT CAPITAL LLC
Active
Other names
Alpha Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE EDWARDS (CHIEF EXECUTIVE OFFICER)
(860) 333-7654
Entity
Organization
Contact information
Practice address
1 E SHORE AVE, GROTON, CT 06340-8837
(860) 333-7654
Mailing address
1 E SHORE AVE, GROTON, CT 06340-8837
(860) 333-7654
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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