Provider Demographics
NPI:1558075937
Name:HEALTH AND HARMONY WELLNESS CENTER
Entity Type:Organization
Organization Name:HEALTH AND HARMONY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-855-1339
Mailing Address - Street 1:4050 E COTTON CENTER BLVD STE 39
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-8863
Mailing Address - Country:US
Mailing Address - Phone:602-334-1818
Mailing Address - Fax:
Practice Address - Street 1:4050 E COTTON CENTER BLVD STE 39
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-8863
Practice Address - Country:US
Practice Address - Phone:602-334-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health