| NPI | 1477444222 |
|---|---|
| Doing Business As | WILLOW GROVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JEANNE TCHAMA Owner 208-809-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |