| Wellpath Community Care Llc | |
|
1130 Conroy Ln Ste 100 Roseville CA 95661-4154 | |
| (916) 580-6600 | |
| (916) 580-6639 |
| Full Name | Wellpath Community Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1130 Conroy Ln Ste 100, Roseville, California |
| Authorized Official Name and Position | Colton Cline (DIRECTOR) |
| Authorized Official Contact | 6153127244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellpath Community Care Llc 1130 Conroy Ln Ste 100 Roseville CA 95661-4154 Ph: () - | Wellpath Community Care Llc 1130 Conroy Ln Ste 100 Roseville CA 95661-4154 Ph: (916) 580-6600 |
| NPI Number | 1619593654 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619593654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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