Provider Demographics
NPI:1962871848
Name:EVER WELL HEALTH SYSTEMS, LLC
Entity type:Organization
Organization Name:EVER WELL HEALTH SYSTEMS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:ZUBIATE
Authorized Official - Suffix:
Authorized Official - Credentials:DHA, MSW
Authorized Official - Phone:805-242-0135
Mailing Address - Street 1:310 JAMES WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-2877
Mailing Address - Country:US
Mailing Address - Phone:805-242-0135
Mailing Address - Fax:
Practice Address - Street 1:4951 E EIGHT MILE RD
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95212-9449
Practice Address - Country:US
Practice Address - Phone:209-333-9731
Practice Address - Fax:209-333-9733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397005571320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness