| Vitalis Wellness Center Inc. | |
|
1519 Constitution Blvd Apt 201 Salinas CA 93906-3150 | |
| (831) 240-4344 | |
| Not Available |
| Full Name | Vitalis Wellness Center Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1519 Constitution Blvd Apt 201, Salinas, California |
| Authorized Official Name and Position | Samuel Inimbom Samuel (CEO) |
| Authorized Official Contact | 8657658224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalis Wellness Center Inc. 1519 Constitution Blvd Apt 201 Salinas CA 93906-3150 Ph: () - | Vitalis Wellness Center Inc. 1519 Constitution Blvd Apt 201 Salinas CA 93906-3150 Ph: (831) 240-4344 |
| NPI Number | 1013523174 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013523174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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