| NPI | 1154036549 |
|---|---|
| Doing Business As | VIGOR INTEGRATIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KERNIBA GHONEIM Owner 301-569-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-02-14 |