| Av Wellness And Enrichment Center | |
|
251-h East Avenue K-6 Lancaster CA 93535-4513 | |
| (661) 947-8400 | |
| (661) 723-4260 |
| Full Name | Av Wellness And Enrichment Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 251-h East Avenue, Lancaster, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Av Wellness And Enrichment Center 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Av Wellness And Enrichment Center 251-h East Avenue K-6 Lancaster CA 93535-4513 Ph: (661) 947-8400 |
| NPI Number | 1144468760 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144468760 | NPI | - | NPPES |
| 7756 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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