| NPI | 1346432358 |
|---|---|
| Doing Business As | DIVINE PHYSICS HOLISTIC LIFESTYLES & REGENERATION, INC. |
| Entity Type | Organization |
| Authorized Contact | LIN MERAGE President 303-221-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 20041202740) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-07-31 |