NPI | 1144090903 |
---|---|
Doing Business As | WELLSPACE HEALTH INC - SMHS |
Entity Type | Organization |
Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-550-5444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-03 |
Last Update Date | 2024-05-08 |