# PACIFIC WELLNESS NETWORK INC

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

## Provider details

- **NPI number:** 1215845672
- **Authorized official:** MRS. AURELIA G LONG MSN,FNP,WHNP,CNLCP (CLINICAL DIRECTOR)
- **Authorized official phone:** (670) 783-2468

## Contact information

- **Practice address:** 520800 SAN JOSE VILLAGE, TINIAN, MP 96952-0800
- **Practice address phone:** (670) 783-2468
- **Practice address fax:** (670) 433-2664
- **Mailing address:** PO BOX 520800, TINIAN, MP 96952-0800
- **Mailing address phone:** (670) 783-2468
- **Mailing address fax:** (670) 433-2664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2026
- **Last updated:** 08/28/2026