| NPI | 1265050595 |
|---|---|
| Doing Business As | VIDA PC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCAHILL President 855-442-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| 333600000X Pharmacy | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-07-07 |