| NPI | 1366101974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA NEVELS Owner 336-298-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |