| NPI | 1073359683 |
|---|---|
| Doing Business As | GRAVITY WELLNESS BHS |
| Entity Type | Organization |
| Authorized Contact | LANCE LENFORD I/O Psychologist 310-388-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |