Provider Demographics
NPI:1306401427
Name:BALANCE WELLNESS CENTER INC.
Entity Type:Organization
Organization Name:BALANCE WELLNESS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JODI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ABRAMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-480-9683
Mailing Address - Street 1:115 W PLAZA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1123
Mailing Address - Country:US
Mailing Address - Phone:858-480-9683
Mailing Address - Fax:
Practice Address - Street 1:115 W PLAZA ST STE 200
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1123
Practice Address - Country:US
Practice Address - Phone:858-480-9683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)