Angie Wellness & Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ANGIE WELLNESS & RECOVERY CENTER

Practice address

637 N Park Ave
Pomona, CA 91768-3669

Phone

(909) 418-8289

NPI assigned

Oct 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glory Bassey Edukere, BSN

Title

President / Executive Director

Phone

(909) 418-8289

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351382400000",
    "number": "1346594405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683669",
            "telephone_number": "909-418-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683669",
            "telephone_number": "909-418-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIE WELLNESS & RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-28",
        "last_updated": "2012-10-28",
        "status": "A",
        "authorized_official_last_name": "EDUKERE",
        "authorized_official_first_name": "GLORY",
        "authorized_official_middle_name": "BASSEY",
        "authorized_official_title_or_position": "PRESIDENT / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-418-8289",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pomona, CA
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.