NPI | 1396365094 |
---|---|
Doing Business As | BEYOND YOUR ORDINARY TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | MYA CULLINS CEO 336-268-6469 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-08-12 |