Organization · NPI-2
California Wellness Center INC
Substance Abuse Rehabilitation Facility · Mission Viejo, CA
NPI number1275291841
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1275291841
- Entity type
- Organization (NPI-2)
- Legal business name
- California Wellness Center INC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2021
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- California Wellness Center INC (Doing Business As)
Practice location
24842 Pylos WayMission Viejo, CA 92691-4668
Phone 909-379-9237 · Fax 888-507-7087
Mailing address
24842 Pylos WayMission Viejo, CA 92691-4668
Phone 909-379-9237 · Fax 888-507-7087
Authorized official
Kellie Terry
Billing Manager
9093799237
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