Northeast Wellness Group, Llc.

NPI #1457602708 in Portland, Maine

Provider Information

NPI Number: 1457602708
Entity Type: Organization
Organization Name: Northeast Wellness Group, Llc.
Primary Specialty: Psychologist - Group Psychotherapy
Enumeration Date: Sep 26, 2012
Last Updated: Jul 16, 2014

Practice Location

Address: 449 FOREST AVE STE 14
City: Portland
State: Maine
ZIP Code: 04101-2037
Phone: (774) 269-4700

Authorized Official

Name: JOSEPH RILEY
Title: CEO
Phone: (774) 269-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X	Primary

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