Organization
VITALIS WELLNESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL INIMBOM SAMUEL MD (CEO)
(865) 765-8224
Entity
Organization
Contact information
Practice address
1519 CONSTITUTION BLVD APT 201, SALINAS, CA 93906-3150
(831) 240-4344
Mailing address
1519 CONSTITUTION BLVD APT 201, SALINAS, CA 93906-3150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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