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
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
12/11/2024
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