Organization
REWILDING WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE CHUDNOW LMHC (FOUNDER)
(508) 444-9229
Entity
Organization
Contact information
Practice address
455 STATE RD # 397, VINEYARD HAVEN, MA 02568-5695
(508) 444-9229
Mailing address
455 STATE RD # 397, VINEYARD HAVEN, MA 02568-5695
(508) 444-9229
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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