| NPI | 1205409950 |
|---|---|
| Doing Business As | COLLABORATIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ZACKARY FORREST RILEY Adminstrative Director 929-306-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |