Organization
WELLBALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RONALD GORDON (CEO)
(617) 792-4121
Entity
Organization
Contact information
Practice address
49 SEAHORSE LN, CHRISTCHURCH, VA 23031-0001
(617) 792-4121
Mailing address
609 WOODVINE RD, ASHEVILLE, NC 28803
(617) 792-4121
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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