Organization
ELEMENTAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GACHUMA NP (MANAGER)
(508) 926-8008
Entity
Organization
Contact information
Practice address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(508) 926-8008
Mailing address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(508) 926-8008
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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