Organization
THE FAMILY WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEENA BOLTON BA, CNHP, CBS (OWNER)
(901) 672-7134
Entity
Organization
Contact information
Practice address
7503 QUEENS CT, SUITE 1, GERMANTOWN, TN 38138-3875
(901) 672-7134
(901) 672-7136
Mailing address
7503 QUEENS CT, SUITE 1, GERMANTOWN, TN 38138-3875
(901) 672-7134
(901) 672-7136
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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