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Organization
NORTHWINDS MAUI WELLNESS & RECOVERY INC.
Active
Organization
NORTHWINDS MAUI WELLNESS & RECOVERY INC.
Active
Other names
NorthWinds WellTox
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA KATHLYN GERHARD-JOHNSON LMFT (PROGRAM DIRECTOR)
(714) 865-8158
Entity
Organization
Contact information
Practice address
1711 E VALLEY RD, MONTECITO, CA 93108-2106
(714) 865-8158
Mailing address
4954 BILOXI AVE, NORTH HOLLYWOOD, CA 91601-4813
(714) 865-8158
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT47701
CA
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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