| NPI | 1326817164 |
|---|---|
| Doing Business As | COLLABORATIVE HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ASHLEY VICKERY Owner 443-398-4207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |