Organization
WELLMORE CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANDREW WELTY PH.D. (EXECUTIVE DIRECTOR)
(234) 801-2469
Entity
Organization
Contact information
Practice address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2469
(330) 364-9212
Mailing address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2469
(330) 364-9212
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308210
—
OH
Enumeration date
11/06/2018
Last updated
10/01/2025
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