Organization
PROSPERITY WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL W EDWARDS (CEO)
(714) 615-5915
Entity
Organization
Contact information
Practice address
20351 SW ACACIA ST FL 1, NEWPORT BEACH, CA 92660-1527
(714) 615-5915
Mailing address
10525 VISTA SORRENTO PKWY STE 310, SAN DIEGO, CA 92121-2748
(714) 615-5915
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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