NPI | 1417764150 |
---|---|
Doing Business As | PALO VERDE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM BURSE Owner 479-335-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-12-16 |
Last Update Date | 2024-12-16 |