NPI 1407398399
State of Wellness INC.
Practice location
- Address
- 9622 Basket Ring Road, Columbia, MD 21045
- Phone
- (410) 715-2268
- Mailing address
- 9622 Basket Ring Rd, Columbia, MD 21045-3418
Authorised official
- Name
- Michaela Conley
- Title
- Executive Director
- Phone
- (410) 715-2268
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1407398399
- Entity type
- Organization
- NPI issued
- 9 Nov 2016
- Record last updated
- 9 Nov 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.