| NPI | 1245918200 |
|---|---|
| Other Name | WAYNE TOWNSHIP WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | HEATHER RUTHERFORD Credentialing COO Rdinator 317-837-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |