| NPI | 1255943767 |
|---|---|
| Doing Business As | VIVERANT INTEGRATIVE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JO LEIGH HOLLAND Owner 812-255-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2024-04-05 |