| Organization Name: | JWCH INSTITUTE, INC |
| NPI Number: | 1104274596 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 15898 Gale Ave Hacienda Heights |
| State: | CA US |
| Postal Code: | 917451601 |
| Phone Number: | 3232014516 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2016 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |