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Wholesome Community Members Club Inc
Psychiatric/Mental Health Nurse Practitioner in Van Nuys, California
NPI 1396210373

Wholesome Community Members Club Inc is a Psychiatric/Mental Health Nurse Practitioner based in Sun Valley, CA and is specialized in Psychiatric/Mental Health. Wholesome Community Members Club Inc practices in Van Nuys, CA. The NPI Number for Wholesome Community Members Club Inc is 1396210373 and holds a License No. (California).

The current practice location address for Wholesome Community Members Club Inc is 6309 Van Nuys Blvd Ste 102, Van Nuys, CA and can be reached out via phone at 818-239-9586.

Location: 6309 Van Nuys Blvd Ste 102, Van Nuys, CA, 91353-1763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396210373
Provider Name
Wholesome Community Members Club Inc
Credential
Provider Entity Type
Organization
Address
6309 Van Nuys Blvd Ste 102, Van Nuys, CA, 91353-1763
Phone Number
818-239-9586
Fax Number
Provider Enumeration Date
10/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6309 Van Nuys Blvd Ste 102
City
Van Nuys
State
California
Zip
91401-6629
Phone Number
818-239-9586
Fax Number
person
Provider Business Mailing Address Details
Address
6309 Van Nuys Blvd Ste 102
City
Van Nuys
State
California
Zip
91401-6629
Phone Number
818-239-9586
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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