Type 2 organization · NPI 1003096744
INTEGRATED WELLNESS GROUP, LLC
103TC2200X · NEW HAVEN, CT
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 103TC2200X | 103TC2200X | Primary |
| 101Y00000X | 101Y00000X | Additional |
| 1041C0700X | 1041C0700X | Additional |
| 1041C0700X | 1041C0700X | Additional |
| 106H00000X | 106H00000X | Additional |
| 2084P0800X | 2084P0800X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s