NPI | 1083113724 |
---|---|
Other Name | CENTER FOR OPTIMAL WELL BEING |
Entity Type | Organization |
Authorized Contact | PAIGE BRADLEY (BRAD) EPPLEY Lmhc 941-224-3464 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL MH5614) |
Enumeration Date | 2018-02-08 |
Last Update Date | 2018-02-08 |