| The Well Outreach Centr | |
|
12717 14th St Yucaipa CA 92399-1821 | |
| (909) 213-6708 | |
| Not Available |
| Full Name | The Well Outreach Centr |
|---|---|
| Speciality | Social Worker |
| Location | 12717 14th St, Yucaipa, California |
| Authorized Official Name and Position | Vicki Wood (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9092136708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Outreach Centr 12717 14th St Yucaipa CA 92399-1821 Ph: () - | The Well Outreach Centr 12717 14th St Yucaipa CA 92399-1821 Ph: (909) 213-6708 |
| NPI Number | 1124704242 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124704242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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