Organization
GENERATIONAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN SCHUBERT (EXECUTIVE DIRECTOR)
(951) 208-7584
Entity
Organization
Contact information
Practice address
25791 JEFFERSON AVE, MURRIETA, CA 92562-6903
(951) 259-3345
Mailing address
25791 JEFFERSON AVE, MURRIETA, CA 92562-6903
(951) 259-3345
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/15/2024
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