NPI | 1073209177 |
---|---|
Doing Business As | WESLEY HEALTH CENTERS - HEALTH AND WELLNESS CENTER 2 |
Entity Type | Organization |
Authorized Contact | ALVARO PROSPERO BALLESTEROS Chief Executive Officer 323-201-4516 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-04-12 |