| NPI | 1548011604 |
|---|---|
| Doing Business As | URBAN VITALITY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TACARIA GARDNER Co Owner 443-904-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |