NPI | 1346016458 |
---|---|
Doing Business As | PHALANX WELLNESS |
Entity Type | Organization |
Authorized Contact | TIMOTHY SCOTT WILLIAMS Owner/Counselor 208-917-0125 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2023-11-29 |
Last Update Date | 2023-11-29 |