Wellspace Health
NPI #1225550874 in Martell, California
Provider Information
- NPI Number
- 1225550874
- Entity Type
- Organization
- Organization Name
- Wellspace Health
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WELLSPACE HEALTH
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 14, 2017
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- 11333 PROSPECT DRIVE
- City
- Martell
- State
- California
- ZIP Code
- 95645-9998
- Phone
- (209) 268-0560
Authorized Official
- Name
- ALASDAIR JONATHAN PORTEUS, PHD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (916) 313-8413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
| Day Training, Developmentally Disabled Services |
| Supports Brokerage |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Home Delivered Meals |
| Technician - Personal Care Attendant — Personal Care Attendant |
| Case Manager/Care Coordinator |
| Respite Care |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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