| NPI | 1003431792 |
|---|---|
| Former Legal Business Name | TLC WELLNESS SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | LISA H COOPERMAN Co Owner 860-965-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |