Organization
ROA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SEWELL (RCM)
(402) 250-8989
Entity
Organization
Contact information
Practice address
10452 CIRCULO DE VILLA, FOUNTAIN VALLEY, CA 92708-3671
(402) 250-8989
(714) 475-2746
Mailing address
151 KALMUS DR STE A203, COSTA MESA, CA 92626-5999
(402) 250-8989
(714) 475-2746
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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