| NPI | 1144749656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELAYNE FIRETAG Medical Director, Treasurer 843-209-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60524427) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA NT60524427) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |