| NPI | 1104408780 |
|---|---|
| Doing Business As | IMMERSIVE WELLNESS CENTERS |
| Entity Type | Organization |
| Authorized Contact | ANGELA MCMAHON COO 619-871-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |