Provider Demographics
NPI:1639468440
Name:SELECT WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:SELECT WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALEPA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-664-9200
Mailing Address - Street 1:96 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2024
Mailing Address - Country:US
Mailing Address - Phone:201-664-9200
Mailing Address - Fax:
Practice Address - Street 1:96 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2024
Practice Address - Country:US
Practice Address - Phone:201-664-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty