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Organization

WALL THERAPEUTIC SOLUTIONS, LLC

Active
Other names
Wall Therapeutic Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW ROSENBAUM (TREASURER)
(540) 285-0423
Entity
Organization

Contact information

Practice address
405 YORKSHIRE ST, SALEM, VA 24153-7016
(540) 387-4517
(540) 579-0414
Mailing address
405 YORKSHIRE ST, SALEM, VA 24153-7016
(540) 387-4517
(540) 579-0414

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
261QD1600X
Developmental Disabilities Clinic/Center
261QH0700X
Hearing and Speech Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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