Organization
THE VULNERABLE WOLF A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA TAN (OWNER)
(619) 752-0165
Entity
Organization
Contact information
Practice address
3911 CLEVELAND AVE UNIT 3541, SAN DIEGO, CA 92103-3402
(619) 752-0165
Mailing address
3911 CLEVELAND AVE UNIT 3541, SAN DIEGO, CA 92103-3402
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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