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Organization
PSYCHIATRIC WELLNESS CENTER INC
Active
Organization
PSYCHIATRIC WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA CALUMPIT CRUZ M.D (OWNER)
(818) 795-2515
Entity
Organization
Contact information
Practice address
30300 AGOURA ROAD, SUITE 195, AGOURA HILLS, CA 91301-5412
(818) 532-7950
(818) 532-7685
Mailing address
30300 AGOURA ROAD, SUITE 195, AGOURA HILLS, CA 91301-5412
(818) 532-7950
(818) 532-7685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
A75757
CA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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