NPI | 1508198565 |
---|---|
Doing Business As | WELLNESS RESTORATION CENTERS |
Entity Type | Organization |
Authorized Contact | RANDEE P VAN NESS CEO 719-651-5102 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CO 32854) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2010-02-02 |
Last Update Date | 2010-07-09 |