| NPI | 1306094586 |
|---|---|
| Other Name | ST JOHNS WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN AHMED Exec 888-674-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 0601) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 602238) |
| Enumeration Date | 2008-08-31 |
| Last Update Date | 2022-07-21 |