Organization
NTU WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDIUS JOHNSON (EXECUTIVE DIRECTOR)
(510) 879-7402
Entity
Organization
Contact information
Practice address
614 GRAND AVE STE 324, OAKLAND, CA 94610-3563
(510) 879-7402
Mailing address
614 GRAND AVE STE 324, OAKLAND, CA 94610-3563
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA236752
—
CA
Enumeration date
09/28/2021
Last updated
09/28/2021
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