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1104601624 NPI number — THE CENTER FOR WHOLENESS

NPI Number: 1104601624
Health Care Provider/Practitioner: THE CENTER FOR WHOLENESS

Information about “1104601624” NPI (THE CENTER FOR WHOLENESS) exists in 1104601624 in HTML format HTML  |  1104601624 in plain Text format TXT  |  1104601624 in PDF (Portable Document Format) PDF  |  1104601624 in an XML format XML  formats.

NPI Number : 1104601624 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104601624",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE CENTER FOR WHOLENESS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3231 BUSINESS PARK DR. STE C #240",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VISTA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92081-8532",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-579-8037",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6056 PASEO PRADERA",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARLSBAD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92009-2241",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-579-8037",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/31/2023",
    "LastUpdateDate": "08/31/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STOCK",
    "AuthorizedOfficialFirstName": "JANINE",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "DIRECTOR EMERITUS",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMFT",
    "AuthorizedOfficialTelephoneNumber": "760-271-1812",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251V00000X",
          "TaxonomyName": "Voluntary or Charitable Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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