| NPI | 1114540457 |
|---|---|
| Doing Business As | NOVA WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANGIE J TREPTOW Interim Director Of Finance 253-299-1937 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-05-20 |