Organization
PSYCHIATRIC WELLNESS CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSE FAIRBANKS DNP, APRN, PMHCNS (OWNER, AUTHORIZED OFFICIAL)
(860) 414-4787
Entity
Organization
Contact information
Practice address
18 JUNIPER LANE, WEST HARTFORD, CT 06117
(860) 414-4787
Mailing address
P.O. BOX 370602, 12 CROSSROADS PLAZA, WEST HARTFORD, CT 06117
(860) 414-4787
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
07/01/2024
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