| NPI | 1215702253 |
|---|---|
| Doing Business As | WELLSPACE HEALTH IMMEDIATE CARE |
| Entity Type | Organization |
| Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-550-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |