NPI | 1255861308 |
---|---|
Former Legal Business Name | NATURES WAY MEDICINE, P.C. |
Entity Type | Organization |
Authorized Contact | MATTHEW ANTONI ROMAN President 855-420-3627 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C2-0011823) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS012069) | |
261QM0850X Clinic/Center, Adult Mental Health (Licence: PA OS012069) | |
261QM2500X Clinic/Center, Medical Specialty | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2017-06-12 |
Last Update Date | 2022-07-21 |