| NPI | 1477137933 |
|---|---|
| Doing Business As | PACIFIC WELLNESS GROUP |
| Doing Business As | TELLAHEALTH CA |
| Entity Type | Organization |
| Authorized Contact | TRACY BEVINGTON CEO 424-436-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2022-02-10 |