| NPI | 1124544937 |
|---|---|
| Other Name | WELLSPACE HEALTH STRATEGIES FOR CHANGE-SOUTH |
| Doing Business As | WELLSPACE HEALTH STRATEGIES FOR CHANGE SOUTH |
| Entity Type | Organization |
| Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-313-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2019-05-06 |