| NPI | 1750831889 |
|---|---|
| Other Name | WELLNESS CENTER |
| Doing Business As | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | TRACY GINTER Director Of State Operations 657-465-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-06-03 |