| NPI | 1265055461 |
|---|---|
| Doing Business As | WHOLENESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT SHANNON Partner 970-224-9458 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |