MEDICARE: BALANCE WELLNESS CENTER INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1306401427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCE WELLNESS CENTER INC.

Provider Business Mailing Address
First Line	:	115 W PLAZA ST STE 200
Second Line	:
City	:	SOLANA BEACH
State	:	CA
Zip	:	92075-1123
Country	:	US
Telephone Number	:	858-480-9683
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 W PLAZA ST STE 200
Second Line	:
City	:	SOLANA BEACH
State	:	CA
Zip	:	92075-1123
Country	:	US
Telephone Number	:	858-480-9683
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST & OWNER
Name	:	DR. JODI L ABRAMOWITZ
Credential	:	PHD
Telephone Number	:	858-480-9683

Provider Enumeration Date	:	05/03/2019
Last Update Date	:	05/03/2019

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Directions to “BALANCE WELLNESS CENTER INC. ” Practice Location

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