| NPI | 1376390666 |
|---|---|
| Doing Business As | CDP WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCDANIEL Owner 863-206-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |