SANCTUARY FOR WELLNESS - NPI 1497402309 - Clinic/Center in Montclair, NJ

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261Q00000X.

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About Sanctuary For Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANCTUARY FOR WELLNESS (NPI 1497402309) is a healthcare organization registered as a clinic/center in Montclair, New Jersey and active in the NPI registry since March 2022. The organization lists Maritza Soto, Owner, as its authorized official.

NPPES Registry Identity

NPI1497402309

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSANCTUARY FOR WELLNESS

Location Address18-20 LACKAWANNA PLZMontclair, NJ 07042-3642

Mailing AddressPo Box 185Verona, NJ 07044-0185 · (973) 459-0964

Phone(973) 459-0964

Organization SubpartNo

Authorized OfficialMaritza SotoOwner · (973) 459-0964

Enumeration DateMarch 10, 2022

NPPES CertifiedMarch 10, 2022

✔ NPI 1497402309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

18-20 LACKAWANNA PLZ, Montclair, NJ 07042

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP