Organization
MOONBEAM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTYNA RUSINOWICZ NP (OWNER)
(978) 219-2968
Entity
Organization
Contact information
Practice address
1 DERBY SQ # 10, SALEM, MA 01970-3704
(978) 219-2968
(978) 209-3777
Mailing address
1 DERBY SQ # 10, SALEM, MA 01970-3704
(978) 219-2968
(978) 209-3777
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2021
Last updated
10/02/2024
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