| Towne House Wellness Center | |
|
629 Oakland Ave Oakland CA 94611-4567 | |
| (510) 658-9480 | |
| Not Available |
| Full Name | Towne House Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 629 Oakland Ave, Oakland, California |
| Authorized Official Name and Position | Michael Stanton Ward (GENERAL COUNSEL) |
| Authorized Official Contact | 5102197451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Towne House Wellness Center 390 40th St Oakland CA 94609-2633 Ph: (510) 613-0330 | Towne House Wellness Center 629 Oakland Ave Oakland CA 94611-4567 Ph: (510) 658-9480 |
| NPI Number | 1164632386 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164632386 | NPI | - | NPPES |
| 81312 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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