| Wellness Clinical Services Inc. | |
|
721 Bond St Espanola NM 87532-2729 | |
| (505) 753-5811 | |
| (505) 747-3210 |
| Full Name | Wellness Clinical Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 721 Bond St, Espanola, New Mexico |
| Authorized Official Name and Position | John George Lang (OWNER) |
| Authorized Official Contact | 5057535811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Clinical Services Inc. 721 Bond St Espanola NM 87532-2729 Ph: (505) 753-5811 | Wellness Clinical Services Inc. 721 Bond St Espanola NM 87532-2729 Ph: (505) 753-5811 |
| NPI Number | 1871799858 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871799858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0318 (New Mexico) | Primary |
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