Organization
WELLSPACE HEALTH
Active
Other names
WellSpace Health Community Supports
Organization subpart
No
Provider details
NPI number
Authorized official
ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 550-5444
Entity
Organization
Contact information
Practice address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 737-5555
(916) 880-5552
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 737-5555
(916) 880-5552
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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