| NPI | 1134499015 |
|---|---|
| Doing Business As | DIVINE GAIA TRANSPERSONAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN SIMMONS Owner 775-720-4284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-12-05 |