Provider / Organization | NPI | Date Certified |
---|---|---|
PENSTAR FAMILY WELLNESS INC | 1083223085 | 2020-07-24 |
The organization Penstar Family Wellness Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1083223085. Registration indicates Penstar Family Wellness Inc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )
Code | Practice | License No State |
---|---|---|
261QM0801X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Mental Health (Including Community Mental Health Center), Community Mental Health Center Clinic/Center Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities Clinic/Center |