Organization
WELLNESS CLINICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GEORGE LANG PHD (OWNER)
(505) 753-5811
Entity
Organization
Contact information
Practice address
721 BOND ST, ESPANOLA, NM 87532-2729
(505) 753-5811
(505) 747-3210
Mailing address
721 BOND ST, ESPANOLA, NM 87532-2729
(505) 753-5811
(505) 747-3210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0318
NM
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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