Organization
UNIVERSAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL SHABAZZ (OWNER)
(843) 302-2419
Entity
Organization
Contact information
Practice address
1824 OLD DOGWOOD, JONESBORO, GA 30238-7515
(843) 302-2419
Mailing address
1824 OLD DOGWOOD, JONESBORO, GA 30238-7515
(843) 302-2419
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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