| NPI | 1033833975 |
|---|---|
| Doing Business As | AMETHYST WELLNESS CENTER |
| Other Name | AMETHYST WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | GARCIA LEE MORMAN Owner 980-316-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |