| NPI | 1538759683 |
|---|---|
| Doing Business As | OPTIMUM WELLNESS CENTER LLC. |
| Entity Type | Organization |
| Authorized Contact | DARRYL XAVIER WHITEHEAD CEO 410-627-3386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |