| The Vulnerable Wolf A Professional Corporation | |
|
3911 Cleveland Ave Unit 3541 San Diego CA 92103-3402 | |
| (619) 752-0165 | |
| Not Available |
| Full Name | The Vulnerable Wolf A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3911 Cleveland Ave Unit 3541, San Diego, California |
| Authorized Official Name and Position | Vanessa Tan (OWNER) |
| Authorized Official Contact | 6197520165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Vulnerable Wolf A Professional Corporation 3911 Cleveland Ave Unit 3541 San Diego CA 92103-3402 Ph: () - | The Vulnerable Wolf A Professional Corporation 3911 Cleveland Ave Unit 3541 San Diego CA 92103-3402 Ph: (619) 752-0165 |
| NPI Number | 1801619580 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801619580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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