Provider Demographics
NPI:1003448150
Name:WELLNESS AND PEACE
Entity Type:Organization
Organization Name:WELLNESS AND PEACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-731-9097
Mailing Address - Street 1:401 SOUTHWAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2520
Mailing Address - Country:US
Mailing Address - Phone:202-731-9097
Mailing Address - Fax:301-971-9521
Practice Address - Street 1:711 W 40TH ST STE 404
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2110
Practice Address - Country:US
Practice Address - Phone:410-575-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty