Organization
ORIGINS WELLNESS GROUP
Active
Other names
Origins Wellness Group, David Mancuso Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MANCUSO LICSW (OWNER)
(347) 949-1044
Entity
Organization
Contact information
Practice address
1029 NORTH RD, WESTFIELD, MA 01085-9711
(347) 949-1044
Mailing address
1029 NORTH RD, WESTFIELD, MA 01085-9711
(347) 949-1044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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