An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
taxonomy 261QM0855X
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
taxonomy 261QM0850X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Gem State Wellness
Type code 3recorded 2023-10-10
Gem State Wellness
Type code 3recorded 2023-10-02
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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