| Sacred Path Indigenous Wellness Center | |
|
2232 Kingsbridge Ct San Dimas CA 91773-3757 | |
| (626) 290-1505 | |
| Not Available |
| Full Name | Sacred Path Indigenous Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2232 Kingsbridge Ct, San Dimas, California |
| Authorized Official Name and Position | Carrie Johnson (CEO) |
| Authorized Official Contact | 6262901505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Path Indigenous Wellness Center 2232 Kingsbridge Ct San Dimas CA 91773-3757 Ph: (626) 290-1505 | Sacred Path Indigenous Wellness Center 2232 Kingsbridge Ct San Dimas CA 91773-3757 Ph: (626) 290-1505 |
| NPI Number | 1255115077 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255115077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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