Organization
WELLMORE CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDREW WELTY (EXECUTIVE DIRECTOR)
(330) 704-6998
Entity
Organization
Contact information
Practice address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2469
Mailing address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2469
(330) 364-9212
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/30/2018
Last updated
03/28/2022
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