Organization
WELLSPACE HEALTH
Active
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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