Provider Demographics
NPI:1952770034
Name:EVER WELL HEALTH SYSTEMS, LLC
Entity Type:Organization
Organization Name:EVER WELL HEALTH SYSTEMS, LLC
Other - Org Name:EVER WELL INTEGRATED HEALTH - NORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:ZUBIATE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, ACSW
Authorized Official - Phone:805-242-0135
Mailing Address - Street 1:391 FRONT ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-1553
Mailing Address - Country:US
Mailing Address - Phone:805-242-0135
Mailing Address - Fax:
Practice Address - Street 1:391 FRONT ST
Practice Address - Street 2:SUITE E
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-1553
Practice Address - Country:US
Practice Address - Phone:805-242-0135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA329581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty