NPI | 1902227010 |
---|---|
Doing Business As | I CARE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | ISAIAH RICARDO JENKINS CFO 877-784-0816 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA #2c-05-877-1015) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2013-12-17 |
Last Update Date | 2014-06-17 |