| NPI | 1356120240 |
|---|---|
| Doing Business As | GRAVITY WELLNES |
| Entity Type | Organization |
| Authorized Contact | LANCE R LENFORD Clinical Psychologist 310-388-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 251S00000X |
| 347D00000X Train | |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |