| NPI | 1164090635 |
|---|---|
| Doing Business As | DISTRICT 100 WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLE L GOLDEN Manager, Revenue Cycle 779-696-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |