Organization
EVER WELL HEALTH SYSTEMS, LLC
Active
Other names
Delta at The Gold Country I
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STUART GROBERG (CFO)
(805) 270-0989
Entity
Organization
Contact information
Practice address
11325 TWIN CITIES RD, GALT, CA 95632-8425
(805) 242-0135
Mailing address
391 FRONT ST, SUITE E, GROVER BEACH, CA 93433-1553
(805) 242-0135
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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