| NPI | 1043650013 |
|---|---|
| Former Legal Business Name | GREENRIVER WELLNESS AND RECOVERY CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | PAULA BOKAMPER Owner 713-785-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2016-06-28 |