| NPI | 1306086418 |
|---|---|
| Doing Business As | WELLNESS TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | LOUIS LEON BRUNO Executive Medical Director 303-777-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2010-10-01 |