Provider Demographics
NPI:1326761479
Name:BEHAVIORAL HEALTH AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAIT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-474-0704
Mailing Address - Street 1:19 NAY CIR
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-3227
Mailing Address - Country:US
Mailing Address - Phone:813-380-4973
Mailing Address - Fax:
Practice Address - Street 1:19 NAY CIR
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-3227
Practice Address - Country:US
Practice Address - Phone:813-380-4973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health