NPI | 1144545922 |
---|---|
Doing Business As | OPULENT WELLNESS |
Entity Type | Organization |
Authorized Contact | KEISHA MONIQUE GWINN Owner 404-955-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: GA MT004320) |
Enumeration Date | 2010-04-05 |
Last Update Date | 2010-04-05 |