Organization
THE WELLNESS ROOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAVEN FYFE-KIERNAN LICSW (OWNER AND OPERATOR)
(617) 775-5373
Entity
Organization
Contact information
Practice address
288 WALNUT ST STE 220, NEWTON, MA 02460-1994
(617) 775-5373
Mailing address
39 COLUMBUS ST, NEWTON, MA 02461-1436
(617) 775-5373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
114084
MA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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