| NPI | 1225833445 |
|---|---|
| Former Legal Business Name | FALLUP WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | ANA GABRIELA PEREZ BARRIOS Clinical Director 754-232-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-14 |