| NPI | 1093441149 |
|---|---|
| Doing Business As | OUR FAMILY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DERRICK J LONDOW Owner 346-802-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QG0250X Clinic/Center, Genetics | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-11-10 |