| NPI | 1376226464 |
|---|---|
| Former Legal Business Name | DOVE HYDRATION & WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | LILLIAN MORENIKE ODUWOLE Director / Owner 414-775-7739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |