Organization · Type 2 NPI
Wholesome Community Members Club Inc
Psychiatric/Mental Health Nurse Practitioner · Van Nuys, CA
NPI number
1396210373
Active
Practice location
6309 Van Nuys Blvd Ste 102
Van Nuys, CA 91401-6629
Mailing address
PO Box 1763
Sun Valley, CA 91353-1763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Voluntary or Charitable Agency | 251V00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Van Nuys
About NPI 1396210373
Wholesome Community Members Club Inc's National Provider Identifier is 1396210373, issued on Oct 5, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Van Nuys, CA. The record was last updated on Apr 10, 2019.