Organization
THE MENTAL HEALTH AND WELLNESS CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY L MARTIN-WATSON ANP/GNP (CEO)
(336) 391-5701
Entity
Organization
Contact information
Practice address
1978 WACCAMAW PATH, WINSTON SALEM, NC 27127-9433
(336) 391-5701
Mailing address
1978 WACCAMAW PATH, WINSTON SALEM, NC 27127-9433
(336) 391-5701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
102293
NC
261QP2300X
Primary Care Clinic/Center
Primary
900278
NC
Other
Enumeration date
02/21/2008
Last updated
06/30/2010
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