| NPI | 1023572195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA ANA'S INTEGRATED WELLNESS Authorized Official 725-204-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |