NPI | 1093546103 |
---|---|
Doing Business As | SOURCE WITHIN WELLNESS |
Entity Type | Organization |
Authorized Contact | AMBER NICOLE BROWN Owner 919-593-5060 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2024-08-10 |
Last Update Date | 2024-08-10 |