Organization
WEAVING WELLNESS & DIVERSITY MANAGEMENT COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WILLIAMS MS (CEO/EXECUTIVE DIRECTOR)
(707) 391-9030
Entity
Organization
Contact information
Practice address
6248 5TH AVENUE, LUCERNE, CA 95458
(707) 391-9030
Mailing address
2203 ROAD H, REDWOOD VALLEY, CA 95470-9521
(707) 391-9030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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