Provider Demographics
NPI:1609428804
Name:WORKIT HEALTH PC
Entity Type:Organization
Organization Name:WORKIT HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-779-7200
Mailing Address - Street 1:2001 F ST STE 102
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4237
Mailing Address - Country:US
Mailing Address - Phone:855-659-7734
Mailing Address - Fax:855-716-4494
Practice Address - Street 1:2001 F ST STE 102
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4237
Practice Address - Country:US
Practice Address - Phone:855-659-7734
Practice Address - Fax:855-716-4494
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WORKIT HEALTH PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder