Organization
WELLNESS IOP PC
Active
Other names
Wellness Intensive Outpatient Program PC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WELKE (COO)
(747) 998-0382
Entity
Organization
Contact information
Practice address
23388 MULHOLLAND DR, WOODLAND HILLS, CA 91364-2733
(747) 998-0382
Mailing address
16260 VENTURA BLVD STE 630, ENCINO, CA 91436-2255
(747) 998-0382
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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