| NPI | 1477886752 | 
|---|---|
| Doing Business As | INTEGRA WELLNESS | 
| Entity Type | Organization | 
| Authorized Contact | MISTY DUNIVAN President 800-884-6251 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile | 
| Enumeration Date | 2009-09-17 | 
| Last Update Date | 2014-06-03 |