Spread Your Wings Llc

LBN: Spread Your Wings Llc
Spread Your Wings Llc is an health care organization with primary practice located at 150 N Jackson Ave Ste 10 , San Jose CA 95116-1908. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.

Contact Information

Primary practice address
150 N Jackson Ave Ste 10 San Jose CA 95116-1908
Phone:
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dumbuya, Andrew Serry
Phone: (408) 401-2984

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1376020313
LBN Legal business name Spread Your Wings Llc
DBA Doing business as
Authorized official Dumbuya, Andrew Serry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2018
Last updated Jul 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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