Organization
PWS WAYNE LLC
Active
Organization
PWS WAYNE LLC
Active
Other names
Amwell Recovery of Wayne, Provive Wellness of Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
MAYER WEBER MR. (PARTNER)
(347) 374-1767
Entity
Organization
Contact information
Practice address
489 DEVON PARK DR STE 306, WAYNE, PA 19087-1809
(610) 947-0800
(610) 756-2050
Mailing address
15 PERLMAN DR STE 120, SPRING VALLEY, NY 10977-5281
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/11/2026
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