| NPI | 1437504909 |
|---|---|
| Doing Business As | ACACIA WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DEO MARIE PEPPERSACK Owner 208-498-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |