Organization
PROWELLNESS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MCGRUDER-KIEFER (DIRECTOR/OWNER)
(805) 342-0222
Entity
Organization
Contact information
Practice address
2945 TOWNSGATE RD STE 200, WESTLAKE VILLAGE, CA 91361-5866
(805) 342-0222
(805) 480-4965
Mailing address
2945 TOWNSGATE RD STE 200, WESTLAKE VILLAGE, CA 91361-5866
(310) 739-8744
(805) 727-4499
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/16/2024
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