| NPI | 1437719622 |
|---|---|
| Former Legal Business Name | VIBRANT HEALING, LLC |
| Entity Type | Organization |
| Authorized Contact | JASON KAL Owner 619-750-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |