Organization
CALLA WELLNESS CENTER, LLC
Active
Other names
Calla Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA B WERTH LCSW (CO-OWNER)
(765) 427-5758
Entity
Organization
Contact information
Practice address
164 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 276-8642
Mailing address
164 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 276-8642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004717A
IN
133V00000X
Registered Dietitian
890736
IN
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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