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Contact Information

HEALED WOMEN HEAL, INC.
436 W 4TH ST # 225
POMONA, CA91766-1622
 Phone: 909-815-7815
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for HEALED WOMEN HEAL, INC.

NPI Number 1366282188
LBN Legal business name HEALED WOMEN HEAL, INC.
Authorized official TRACY EVANSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2024
Last updated 05/30/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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