Organization
URBAN WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY TYSON (OWNER)
(860) 292-0030
Entity
Organization
Contact information
Practice address
36 RUSS ST FL 3, HARTFORD, CT 06106-1520
(860) 292-0030
Mailing address
36 RUSS ST FL 3, HARTFORD, CT 06106-1520
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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