NPI | 1215752670 |
---|---|
Doing Business As | CORE WELLNESS CENTERS LLC |
Entity Type | Organization |
Authorized Contact | DUANE LASSITER Member 215-432-7396 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Enumeration Date | 2024-11-20 |
Last Update Date | 2024-11-20 |