Organization
WELLNESS CARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY FRANK KOLACZKOWSKI MSW, LISW, LCSW (OWNER/DIRECTOR)
(937) 223-1781
Entity
Organization
Contact information
Practice address
1320 WOODMAN DR, DAYTON, OH 45432-3497
(937) 223-1781
(937) 424-8656
Mailing address
1320 WOODMAN DR, DAYTON, OH 45432-3497
(937) 223-1781
(937) 424-8656
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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