Organization
TIME OUT WELLNESS CENTER & DAY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY ELAINE YEARICK LMT (OWNER)
(570) 748-4505
Entity
Organization
Contact information
Practice address
108 WOODWARD AVE, LOCK HAVEN, PA 17745-1625
(570) 748-4505
Mailing address
108 WOODWARD AVE, LOCK HAVEN, PA 17745-1625
(570) 748-4505
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MSG004415
PA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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