Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wave Wellness Center, LLC

Organization Clinic/Center · NPI 1760279475

Wave Wellness Center, LLC is a Clinic/Center in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3396 Miller St
Philadelphia, PA 19134-5325
Phone: (215) 901-5877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Clinic/Center Taxonomy 261Q00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1760279475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Bongiovanni — Ceo · (215) 768-5600
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address3540 Wharton St, Philadelphia, PA 19146-3226

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