Organization
WELLSPACE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALASDAIR JONATHAN PORTEUS PHD (CHIEF EXECUTIVE OFFICER)
(916) 737-5555
Entity
Organization
Contact information
Practice address
7601 HOSPITAL DR, 220, SACRAMENTO, CA 95823-5408
(916) 689-3433
(916) 689-8943
Mailing address
1820 J ST, SACRAMENTO, CA 95811-3010
(916) 550-5481
(916) 822-8974
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550001216
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/26/2014
Last updated
03/23/2022
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