| NPI | 1205923174 |
|---|---|
| Former Legal Business Name | NIRVANA WELLNESS SOLUTIONS INC |
| Entity Type | Organization |
| Authorized Contact | WILLE E ANDRE President CEO 904-296-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |