| NPI | 1528733185 |
|---|---|
| Doing Business As | VITALITY WELLNESS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | JASON DAUGHETY President 619-929-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2021-10-19 |