| NPI | 1174339337 |
|---|---|
| Doing Business As | SOUTHSIDE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRICIA SUBLET Director Of Services 785-821-4094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |