# THE WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013384312
- **Authorized official:** MS. JODY L MANGUM MSOM, D.AC., L.AC. (OWNER)
- **Authorized official phone:** (707) 487-4444

## Contact information

- **Practice address:** 625 F ST STE A, CRESCENT CITY, CA 95531-3732
- **Practice address phone:** (707) 487-4444
- **Mailing address:** 361 9TH ST, CRESCENT CITY, CA 95531-3433
- **Mailing address phone:** (707) 487-4444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | AC7529 | CA | Yes |

## Other

- **Enumeration date:** 08/22/2015
- **Last updated:** 08/22/2015
