OrganizationPsychiatric Wellness Center IncPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address30300 Agoura Road, Suite 195, Agoura Hills, CA 91301-5412(818) 532-7950PECOS EnrollmentBased on the most recent information from CMS, provider Psychiatric Wellness Center Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1962819789Provider TypeOrganizationFull NamePsychiatric Wellness Center IncSubpartNoEnumeration Date7/14/2014Last Updated7/14/2014Contact InformationPractice LocationPractice Address30300 Agoura Road, Suite 195, Agoura Hills, CA 91301-5412Phone(818) 532-7950Fax(818) 532-7685Mailing LocationMailing Address30300 Agoura Road, Suite 195, Agoura Hills, CA 91301-5412Phone(818) 532-7950Fax(818) 532-7685Authorized OfficialNameCruz, Elsa Calumpit (Owner)Phone(818) 795-2515Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA75757CaliforniaCode103TC0700XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer