| Td & Sjc Wellness Services Llc | |
|
17150 Newhope St Ste 208 Fountain Valley CA 92708-4250 | |
| (253) 686-2854 | |
| Not Available |
| Full Name | Td & Sjc Wellness Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17150 Newhope St Ste 208, Fountain Valley, California |
| Authorized Official Name and Position | Stephen Carmel (OWNER) |
| Authorized Official Contact | 2536862854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Td & Sjc Wellness Services Llc 17150 Newhope St Ste 208 Fountain Valley CA 92708-4250 Ph: (253) 686-2854 | Td & Sjc Wellness Services Llc 17150 Newhope St Ste 208 Fountain Valley CA 92708-4250 Ph: (253) 686-2854 |
| NPI Number | 1124873013 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124873013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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