OrganizationActive
Weaving Wellness & Diversity Management Company
NPI 1609658616 · Prevention Professional · Lucerne, CA
Provider details
- NPI number
- 1609658616
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Brian Williams, Ceo/Executive Director(707) 391-9030
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
Practice location
6248 5th Avenue
Lucerne, CA 95458
Phone: (707) 391-9030
Approximate (ZIP-level) locationGet directions
Mailing address
2203 Road H
Redwood Valley, CA 95470-9521
Registry dates
- Enumerated
- 2023-10-16
- Last updated
- 2023-10-16
- Certified
- 2023-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.